개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
논문을 무제한 열람 이용할 수 있어요.
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 262 - 267 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: The laparoscopic rectopexy has become increasingly popular with verified stability, surgical route selection should be tailored to individual patient characteristics rather than operative risk. The perineal approach is useful in young male patients who need to preserve fertility. This study aimed to compare the characteristics of men and women who underwent Delorme-Thiersch procedures and analyze the postoperative outcomes of the perineal approach by sex. Methods: We retrospectively reviewed the medical records of 293 patients who underwent Delorme-Thiersch operations in Seoul Song Do Colorectal Hospital between January 2011 and September 2017. Patient clinical characteristics and postoperative complications were analyzed by sex. We analyzed surgical outcomes with preoperative and 3-month postoperative incontinence questionnaires, constipation levels, and anal manometry. Results: In this study, men with rectal prolapse were younger than women with the same condition. American Society of Anesthesiologists physical status classifications were higher in women and women had more L-spine X-ray and pudendal nerve terminal motor latency test abnormalities. Anorectal manometry pressures were higher in men. Men also had longer operation times and hospital stays and more postoperative complications (8 T ring infections, 6 patients with bleeding, 3 with strictures, 2 with severe pain, and 2 with rectal perforations). The recurrence rate was higher among women. Conclusion: Men with rectal prolapse were younger, healthier, and had relatively better anorectal function than women. The Delorme-Thiersch operation in men promoted lower recurrence rates and was advantageous in preserving the fertility of young patients, but the incidence of complications was also higher in men. Adequate counseling and preparation for the possibility of complications are needed.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
윤서구 / 2011 / Rectal Prolapse: Review According to the Personal Experience / Annals of Coloproctolgy 27(3):107~113
Melton GB / 2013 / Rectal prolapse / Surg Clin North Am 93:187~198
Berman IR / 1992 / Sutureless laparoscopic rectopexy for procidentia. Technique and implications / Dis Colon Rectum 35:689~693
Tou S / 2015 / Surgery for complete (full-thickness) rectal prolapse in adults / Cochrane Database Syst Rev :CD001758
Young MT / 2015 / Surgical treatments for rectal prolapse : how does a perineal approach compare in the laparoscopic era? / Surg Endosc 29:607~613
Melton GB / 2013 / Rectal prolapse / Surg Clin North Am 93:187~198
Berman IR / 1992 / Sutureless laparoscopic rectopexy for procidentia. Technique and implications / Dis Colon Rectum 35:689~693
Tou S / 2015 / Surgery for complete (full-thickness) rectal prolapse in adults / Cochrane Database Syst Rev :CD001758
Young MT / 2015 / Surgical treatments for rectal prolapse : how does a perineal approach compare in the laparoscopic era? / Surg Endosc 29:607~613
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Laparoscopic Posterolateral Rectopexy for the Treatment of Patients With a Full Thickness Rectal Prolapse: Experience With 63 Patients and Short-term Outcomes
Annals of Coloproctology
2018 .01
-
Efficacy and safety of anal encirclement combining the Leeds-Keio artificial ligament with injection sclerotherapy using aluminum potassium sulfate and tannic acid in the management of rectal prolapse: a single-center observational study
Annals of Coloproctology
2023 .06
-
Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study
Annals of Surgical Treatment and Research
2022 .04
-
Comparison of abdominal and perineal approach for recurrent rectal prolapse
Annals of Surgical Treatment and Research
2023 .03
-
Transanal Endoscopic Microsurgery for Patients With Rectal Tumors: A Single Institution’s Experience
Annals of Coloproctology
2017 .01
-
Neorectal Mucosal Prolapse After Intersphincteric Resection for Low-Lying Rectal Cancer: A Case Report
Annals of Coloproctology
2021 .01
-
Change in anorectal function after standard rectal cancer treatment
대한임상종양학회 학술대회지
2019 .02
-
Matched case-control analysis comparing oncologic outcomes between preoperative and postoperative chemoradiotherapy for rectal cancer
Annals of Surgical Treatment and Research
2017 .04
-
Robotic versus conventional laparoscopic surgery for rectal cancer : systematic review and meta-analysis
Annals of Surgical Treatment and Research
2015 .09
-
Laparoscopic Approach for Rectal Prolapse
대한외과학회 학술대회 초록집
2019 .10
-
80세 이상 노인 환자의 수술 후 합병증의 유병률과 예측 인자
Annals of geriatric medicine and research
2015 .01
-
Renal outcomes of laparoscopic versus open surgery in patients with rectal cancer: a propensity score analysis
Kidney Research and Clinical Practice
2021 .12
-
The role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study
Annals of Surgical Treatment and Research
2022 .05
-
Colorectal Perforation After Anorectal Manometry for Low Anterior Resection Syndrome
Annals of Coloproctology
2017 .01
-
Clinical study of colorectal cancer operation: Survival analysis
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2020 .06
-
The pattern of bowel dysfunction in patients with rectal cancer following the multimodal treatment: anorectal manometric measurements at before and after chemoradiation therapy, and postoperative 1 year
Annals of Coloproctology
2023 .02
-
Laparoscopic Postero-lateral Rectopexy for Full Thickness Rectal Prolapse : Experience 63 Patients and Short-term Outcomes
대한외과학회 학술대회 초록집
2017 .11
-
Is Laparoscopic Common Bile Duct Exploration Safe for the Oldest Old Patients?
Annals of geriatric medicine and research
2022 .06
-
Anal Sphincter Function According to Internal Rectal Prolapse Grade in Patients with Fecal Incontinence
대한외과학회 학술대회 초록집
2021 .05
-
Laparoscopic Vaginal Suspension and Rectopexy for Rectal Prolapse
Annals of Coloproctology
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0