The application of natural orifice specimen extraction surgery in the treatment of rectal prolapse
Objective:To investigate the clinical value and short-term efficacy of natural orifice specimen extraction surgery in the treatment of rectal prolapse.Methods:The clinical data of 41 patients with rectal prolapse from Jan.2019 to Mar.2023 were retro-spectively analyzed.15 patients underwent natural orifice specimen extraction surgery(observation group),26 patients underwent tradi-tional laparoscopic surgery(control group).Operation time,intraoperative blood loss,postoperative hospital stay,postoperative pain score,postoperative complications and the recurrence rate were compared between the two groups.Anal sphincter function,Wexner anal incontinence and constipation score were evaluated.Results:There was no significant difference in intraoperative blood loss between the observation group and the control group[48(42,50)mL vs.47(45,50)mL,P>0.05].There were significant differences in the opera-tion time[(147.20±5.51)min vs.(132.61±5.88)min],hospital stay[7(6,8)d vs.12(10,13)d]and postoperative pain score[2(1,3)vs.5(4,6)]between the observation group and the control group(P<0.05).The postoperative anal sphincter score,Wexner anal incontinence score and Wexner constipation score of the observation group and the control group were significantly lower than those before operation(P<0.05),but there was no significant difference between the two groups(P>0.05).In the control group,3 patients suffered from fat liquefaction in the abdominal auxiliary incision.There were no perioperative death and no recurrence in the postopera-tive follow-up of 6 months.Conclusions:The application of natural orifice specimen extraction surgery in the treatment of rectal prolapse is safe and feasible,with the advantages of rapid recovery,mild postoperative pain,significant improvement of constipation and anal incontinence,and low recurrence rate,which is worthy of clinical promotion.
Prolapse of rectumNatural orifice specimen extraction surgeryPartial sigmoidectomyLaparoscopy
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