Open vs. Laparoscopic Surgery for Rectal Prolapse

Abstract

Laparoscopic repair for rectal prolapse is technically feasible and can be performed with mortality and morbidity rates comparable to those of the conventional technique. The main advantages of the laparoscopic approach appear to be a shorter hospital stay and lessened intraoperative blood loss. Recurrence rate is not increased in the short term.

Laparoscopic ventral rectopexy in an elderly population with external rectal prolapse: clinical and anal manometric results

“…Previous studies report that the operative time for laparoscopic rectopexy is longer than that for open abdominal procedures [13][14][15]. In our study, the median operative time was 135 min, which is similar to the published duration for open surgery [13,16].…”

“…Both higher and lower morbidity rates have been reported [5,14,15]. There may be no difference in morbidity between the laparoscopic and open procedures [2].…”

“…It shows that, with a well-trained surgeon, the laparoscopic approach is not necessarily requiring more time than open procedures [15,17]. Thus, the prolonged operative time is no longer an applicable argument against the laparoscopic approach, and it is reported that the laparoscopic approach has an overall lower cost compared with open procedures [15,18,19].…”

Laparoscopic suture rectopexy in the treatment of persisting rectal prolapse in children

“…In adults, laparoscopic rectopexy has gained wide popularity because of its minor invasiveness and good cosmesis [8,10]. Equally good results have been achieved by laparoscopic and open procedures [8,10]. We present a series of eight patients with PRP who underwent laparoscopic rectopexy.…”

“…For children with persistent rectal prolapse (PRP), a variety of surgical procedures have been described, including sacral rectopexy through posterosagittal incision [2], transabdominal sacral rectopexy with or without sigmoid resection [2,7], rectal submucosal sclerosant injections [6], Thiersch cerclage [1], and EkehornÕs rectosacropexy [11]. In adults, laparoscopic rectopexy has gained wide popularity because of its minor invasiveness and good cosmesis [8,10]. Equally good results have been achieved by laparoscopic and open procedures [8,10].…”