Long-term outcome of robotic-assisted laparoscopic rectopexy for full-thickness rectal prolapse in elderly patients

被引:21
作者
Germain, A. [1 ]
Perrenot, C. [1 ]
Scherrer, M. -L. [1 ]
Ayav, C. [2 ]
Brunaud, L. [1 ]
Ayav, A. [1 ]
Bresler, L. [1 ]
机构
[1] Univ Hosp Nancy Brabois, Dept Digest Surg, F-54511 Vandoeuvre Les Nancy, France
[2] Univ Hosp Nancy Brabois, Dept Epidemiol & Clin Evaluat, F-54511 Vandoeuvre Les Nancy, France
关键词
Robotic surgery; Da Vinci; rectal prolapse; rectopexy; elderly patients; faecal incontinence; DELORMES-PROCEDURE; ALTEMEIERS PROCEDURE; ABDOMINAL RECTOPEXY; VENTRAL RECTOPEXY; ORR-LOYGUE; REPAIR; PROMONTORY; SURGERY; MANAGEMENT; TRIAL;
D O I
10.1111/codi.12513
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim Full-thickness rectal prolapse is common in the elderly, but there are no particular practice guidelines for its surgical management. We evaluated retrospectively the perioperative and long-term clinical results and function in elderly and younger patients with complete rectal prolapse after robotic-assisted laparoscopic rectopexy (RALR). Method Seventy-seven patients who underwent RALR between 2002 and 2010 were divided into Group A (age <75 years, n = 59) and Group B (age >75 years, n = 18). Operative time, intra- and postoperative complications, length of hospital stay, short-term and long-term outcomes, recurrence rate and degree of satisfaction were evaluated. Results There was no significant difference between the groups regarding operation time, conversion, morbidity or length of hospital stay. At a median follow-up of 51.8 (5-115) months, there was no difference in the improvement of faecal incontinence, recurrence and the degree of satisfaction. Conclusion Robotic-assisted laparoscopic rectopexy is safe in patients aged over 75 years and gives similar results to those in patients aged <75 years.
引用
收藏
页码:198 / 202
页数:5
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