Procedures and Outcomes of Rectopexy for Rectal Prolapse
Abdominal rectopexy for rectal prolapse is a more invasive and radical procedure than perineal procedures. Though patients with rectal prolapse are usually aged and poor risk patients, abdominal rectopexy is usually recommended if feasible because of the radicality. In recent years, laparoscopic rec...
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| Published in | Nippon Daicho Komonbyo Gakkai Zasshi Vol. 65; no. 10; pp. 840 - 846 |
|---|---|
| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society of Coloproctology
2012
|
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.65.840 |
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| Abstract | Abdominal rectopexy for rectal prolapse is a more invasive and radical procedure than perineal procedures. Though patients with rectal prolapse are usually aged and poor risk patients, abdominal rectopexy is usually recommended if feasible because of the radicality. In recent years, laparoscopic rectopexy has become more popular and covered by insurance since April this year, therefore less invasive and more radical treatment can now be achieved. The key points of the procedures are to mobilize the rectum, to pull it up, and to fix it fully. The detailed procedures might differ slightly according to the institute where performed, to what extent the rectum is dissected, whether the lateral ligament is divided or not, whether the rectum is fixed by mesh or sutured directly, and whether bowel resection is accompanied or not. To determine the proper detailed procedures, a prospective comparative study should be planned and treatment guidelines established. |
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| AbstractList | Abdominal rectopexy for rectal prolapse is a more invasive and radical procedure than perineal procedures. Though patients with rectal prolapse are usually aged and poor risk patients, abdominal rectopexy is usually recommended if feasible because of the radicality. In recent years, laparoscopic rectopexy has become more popular and covered by insurance since April this year, therefore less invasive and more radical treatment can now be achieved. The key points of the procedures are to mobilize the rectum, to pull it up, and to fix it fully. The detailed procedures might differ slightly according to the institute where performed, to what extent the rectum is dissected, whether the lateral ligament is divided or not, whether the rectum is fixed by mesh or sutured directly, and whether bowel resection is accompanied or not. To determine the proper detailed procedures, a prospective comparative study should be planned and treatment guidelines established. |
| Author | Masumori, Kouji Katsuno, Hidetoshi Maeda, Koutarou Hanai, Tsunekazu Siota, Miho Matsuoka, Hiroshi Endou, Tomoyoshi Satou, Harunobu Matsuoka, Shingi Koide, Yoshikazu Mizuno, Masahiro Tooyama, Kunihiro Hatta, Kouhei |
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| References | 32) 宮崎道彦, 安井昌義, 三嶋秀行ほか:完全直腸脱に対する開腹下stapling rectopexyの治療経験. 日臨外会誌 68:2565-2570, 2007 3) 高尾良彦, 辻塚一幸, 菊池 潔ほか:V. 排便機能からみた直腸脱の診断と治療. 日本大腸肛門病会誌 60:911-916, 2007 26) 笠原大城, 磯山 徹, 豊島 宏:直腸脱に対するMarlex Meshによる直腸後方固定術（Ripstein手術変法）の経験. 日本大腸肛門病会誌 43:1388-1391, 1990 18) McKee RF, Lauder JC, Poon FW, et al: A prospective randomized study of abdominal rectopexy with and without sigmoidectomy in rectal prolapsed. Surg Gynecol Obstet 174:145-148, 1992 31) 野明俊裕, 荒木靖三:直腸脱に対する鏡視下手術. 消化管外科 30:880-887, 2007 17) Katsuno H, Maeda K, Hanai T, et al: An unusual late complication of rectopexy. Teah Coloproctol 12:263-265, 2008 27) 宮島伸宣, 酒井 滋, 山川達郎:5, 直腸脱に対する腹腔鏡下直腸固定術. 日本大腸肛門病会誌 50:1151-1157, 1997 35) 西口幸雄, 井上 透, 池原照幸ほか:16. 直腸脱に対する手術（鏡視下）. 手術 65:953-958, 2011 2) 前田耕太郎, 丸田守人, 内海俊明ほか:骨盤底支持組織並びに排便の機能障害（2）直腸脱. 臨牀消化器内科 15:1081-1087, 2000 7) Yoon S G: Rectal prolapse: Review according to the personal experience. J Koran Soc Coloproctol 27:107-113, 2011 1) 高野正博:直腸脱の治療―直腸縫縮・括約筋形成術式―. 手術 46:923-929, 1992 34) 山名哲朗:直腸脱の術式選択と手術手技. 外科治療 102:273-279, 2010 10) Speakman CT, Madden MV, Nicholls RJ, et al: Lateral ligament division during rectopexy causes constipation but preventsrecurrence: results of a prospective randomized study. Br J Surg 78:1431-1433, 1991 30) 黒柳洋弥, 酒井義治, 山口高史ほか:完全直腸脱に対する腹腔鏡下直腸吊り上げ術. 日鏡外会誌 11:451-456, 2006 6) Shin E J: Surgical treatment of rectal prolapsed. J Koran Soc Coloproctol 27:5-12, 2011 24) Kellokumpu IH, Vironen J, Scheinin T: Laparoscopic repair of rectal prolapse: a prospective study evaluating surgical outcome and changes in symptoms and bowel function. Surg Endosc 14:634-640, 2000 23) Salkeld G, Bagia M, Solomon M: Economic impact of laparoscopic versus open abdominal rectopexy. Br J Surg 91:1188-1191, 2004 5) Tou S, Brown SR, Malik AI, et al: Surgery for complete rectal prolapsed in adults (Review). Cochrane Database Syst Rev 4:CD001758, 2008 13) Tjandra JJ, Fazio VW, Church JM, et al: Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum 36:501-507, 1993 16) Gordon PH, Hoexter B: Complications of the Ripstein procedure. Dis Colon Rectum 21:277-280, 1978 21) Boccasanta P, Rosati R, Venturi M, et al: Comparison of laparoscopic rectopexy with open technique in the treatment of complete rectal prolapse: clinical and functional results. Surg Laparosc Endosc 8:460-465, 1998 12) Bachoo P, Brazzelli M, Grant A: Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 2:CD001758, 2000 25) Yoon SG, Kim KU, Noh KY, et al: Laparoscopic suture rectopexy for rectal prolapsed. J Korean Soc Coloproctol 18:89-94, 2002 33) 吉岡和彦, 徳原克治, 岩本慈能ほか:特集 外科における先進医療と高度医療 8. 腹腔鏡下直腸固定術. 外科 71:619-623, 2009 36) 大塚幸喜, 佐々木章, 板橋哲也ほか:特集 腹腔鏡下大腸切除術 直腸脱に対する腹腔鏡下手術. 消化器外科 35:91-100, 2012 9) 花井恒一, 前田耕太郎, 佐藤美信ほか:完全直腸脱に対する術式の選択と腹腔鏡下直腸固定術の手技とその工夫. 手術 63:1697-1702, 2009 11) Mollen RM, Kuijpers JH, Van Hoek F: Effects of rectal mobilization and lateral ligaments division on colonic and anorectal function. Dis Colon Rectum 43:1283-1287, 2000 29) 牧野博司, 榎本雅之, 杉原健一:完全直腸脱に対する腹腔鏡下直腸固定術. 消化器外科 27:917-923, 2004 19) Luukkonen P, Mikkonen U, Jarvinen H: Abdominal rectopexy with sigmoidectomy vs. rectopexy alone for rectal prolapse: a prospective, randomized study. Int J Colorectal Dis 7:219-222, 1992 8) Faucheron J L, Voirin D, Riboud R, et al: Laparoscopic anterior rectopexy to the promontory for full-thickness rectal prolapse in 175 consecutive patients: short- and long-term follow-up. Dis Colon Rectum 55:660-665, 2012 14) Winde G, Reers B, Nottberg H, et al: Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapsed. Eur J Sur 159:301-305, 1993 20) Formijne Jonkers HA, Draaisma WA, Wexner SD, et al: Evaluation and surgical treatment of rectal prolapse: An international survey. Colorectal Dis: 2012 Jun 21, [Epub ahead of print] 22) Solomon MJ, Young CJ, Eyers AA, et al: Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapsed. Br J Surg 89:35-39, 2002 4) 下島裕寛, 香取玲美, 杉田博俊ほか:1. 直腸脱の病態生理と術式選択. 外科 70:1494-1501, 2008 15) Scaglia M, Fasth S, Hallgren T, et al: Abdominal rectopexy for rectal prolapsed. Influence of surgical technique on functional outcome. Dis Colon Rectum 37:805-813, 1994 28) 黒水丈次, 豊原敏光, 竹尾浩真ほか:完全直腸脱に対する腹腔鏡下直腸固定術. 外科治療 85:109-113, 2001 |
| References_xml | – reference: 11) Mollen RM, Kuijpers JH, Van Hoek F: Effects of rectal mobilization and lateral ligaments division on colonic and anorectal function. Dis Colon Rectum 43:1283-1287, 2000 – reference: 8) Faucheron J L, Voirin D, Riboud R, et al: Laparoscopic anterior rectopexy to the promontory for full-thickness rectal prolapse in 175 consecutive patients: short- and long-term follow-up. Dis Colon Rectum 55:660-665, 2012 – reference: 2) 前田耕太郎, 丸田守人, 内海俊明ほか:骨盤底支持組織並びに排便の機能障害（2）直腸脱. 臨牀消化器内科 15:1081-1087, 2000 – reference: 15) Scaglia M, Fasth S, Hallgren T, et al: Abdominal rectopexy for rectal prolapsed. Influence of surgical technique on functional outcome. Dis Colon Rectum 37:805-813, 1994 – reference: 29) 牧野博司, 榎本雅之, 杉原健一:完全直腸脱に対する腹腔鏡下直腸固定術. 消化器外科 27:917-923, 2004 – reference: 13) Tjandra JJ, Fazio VW, Church JM, et al: Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum 36:501-507, 1993 – reference: 6) Shin E J: Surgical treatment of rectal prolapsed. J Koran Soc Coloproctol 27:5-12, 2011 – reference: 35) 西口幸雄, 井上 透, 池原照幸ほか:16. 直腸脱に対する手術（鏡視下）. 手術 65:953-958, 2011 – reference: 3) 高尾良彦, 辻塚一幸, 菊池 潔ほか:V. 排便機能からみた直腸脱の診断と治療. 日本大腸肛門病会誌 60:911-916, 2007 – reference: 4) 下島裕寛, 香取玲美, 杉田博俊ほか:1. 直腸脱の病態生理と術式選択. 外科 70:1494-1501, 2008 – reference: 21) Boccasanta P, Rosati R, Venturi M, et al: Comparison of laparoscopic rectopexy with open technique in the treatment of complete rectal prolapse: clinical and functional results. Surg Laparosc Endosc 8:460-465, 1998 – reference: 28) 黒水丈次, 豊原敏光, 竹尾浩真ほか:完全直腸脱に対する腹腔鏡下直腸固定術. 外科治療 85:109-113, 2001 – reference: 27) 宮島伸宣, 酒井 滋, 山川達郎:5, 直腸脱に対する腹腔鏡下直腸固定術. 日本大腸肛門病会誌 50:1151-1157, 1997 – reference: 30) 黒柳洋弥, 酒井義治, 山口高史ほか:完全直腸脱に対する腹腔鏡下直腸吊り上げ術. 日鏡外会誌 11:451-456, 2006 – reference: 12) Bachoo P, Brazzelli M, Grant A: Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 2:CD001758, 2000 – reference: 14) Winde G, Reers B, Nottberg H, et al: Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapsed. Eur J Sur 159:301-305, 1993 – reference: 5) Tou S, Brown SR, Malik AI, et al: Surgery for complete rectal prolapsed in adults (Review). Cochrane Database Syst Rev 4:CD001758, 2008 – reference: 26) 笠原大城, 磯山 徹, 豊島 宏:直腸脱に対するMarlex Meshによる直腸後方固定術（Ripstein手術変法）の経験. 日本大腸肛門病会誌 43:1388-1391, 1990 – reference: 24) Kellokumpu IH, Vironen J, Scheinin T: Laparoscopic repair of rectal prolapse: a prospective study evaluating surgical outcome and changes in symptoms and bowel function. Surg Endosc 14:634-640, 2000 – reference: 19) Luukkonen P, Mikkonen U, Jarvinen H: Abdominal rectopexy with sigmoidectomy vs. rectopexy alone for rectal prolapse: a prospective, randomized study. Int J Colorectal Dis 7:219-222, 1992 – reference: 33) 吉岡和彦, 徳原克治, 岩本慈能ほか:特集 外科における先進医療と高度医療 8. 腹腔鏡下直腸固定術. 外科 71:619-623, 2009 – reference: 36) 大塚幸喜, 佐々木章, 板橋哲也ほか:特集 腹腔鏡下大腸切除術 直腸脱に対する腹腔鏡下手術. 消化器外科 35:91-100, 2012 – reference: 16) Gordon PH, Hoexter B: Complications of the Ripstein procedure. Dis Colon Rectum 21:277-280, 1978 – reference: 34) 山名哲朗:直腸脱の術式選択と手術手技. 外科治療 102:273-279, 2010 – reference: 17) Katsuno H, Maeda K, Hanai T, et al: An unusual late complication of rectopexy. Teah Coloproctol 12:263-265, 2008 – reference: 32) 宮崎道彦, 安井昌義, 三嶋秀行ほか:完全直腸脱に対する開腹下stapling rectopexyの治療経験. 日臨外会誌 68:2565-2570, 2007 – reference: 18) McKee RF, Lauder JC, Poon FW, et al: A prospective randomized study of abdominal rectopexy with and without sigmoidectomy in rectal prolapsed. Surg Gynecol Obstet 174:145-148, 1992 – reference: 31) 野明俊裕, 荒木靖三:直腸脱に対する鏡視下手術. 消化管外科 30:880-887, 2007 – reference: 10) Speakman CT, Madden MV, Nicholls RJ, et al: Lateral ligament division during rectopexy causes constipation but preventsrecurrence: results of a prospective randomized study. Br J Surg 78:1431-1433, 1991 – reference: 23) Salkeld G, Bagia M, Solomon M: Economic impact of laparoscopic versus open abdominal rectopexy. Br J Surg 91:1188-1191, 2004 – reference: 22) Solomon MJ, Young CJ, Eyers AA, et al: Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapsed. Br J Surg 89:35-39, 2002 – reference: 25) Yoon SG, Kim KU, Noh KY, et al: Laparoscopic suture rectopexy for rectal prolapsed. J Korean Soc Coloproctol 18:89-94, 2002 – reference: 20) Formijne Jonkers HA, Draaisma WA, Wexner SD, et al: Evaluation and surgical treatment of rectal prolapse: An international survey. Colorectal Dis: 2012 Jun 21, [Epub ahead of print] – reference: 9) 花井恒一, 前田耕太郎, 佐藤美信ほか:完全直腸脱に対する術式の選択と腹腔鏡下直腸固定術の手技とその工夫. 手術 63:1697-1702, 2009 – reference: 7) Yoon S G: Rectal prolapse: Review according to the personal experience. J Koran Soc Coloproctol 27:107-113, 2011 – reference: 1) 高野正博:直腸脱の治療―直腸縫縮・括約筋形成術式―. 手術 46:923-929, 1992 |
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