Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery
10.7602/jmis.2019.22.4.135
- Author:
Suk Hwan LEE
1
Author Information
1. Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. leeshdr@khu.ac.kr
- Publication Type:Editorial
- Keywords:
Rectal prolapse;
Laparoscopy;
Surgery
- MeSH:
Aged;
Anesthesiology;
Humans;
Laparoscopy;
Minimally Invasive Surgical Procedures;
Perioperative Care;
Quality of Life;
Rectal Prolapse
- From:Journal of Minimally Invasive Surgery
2019;22(4):135-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
With the life span of the general population increased, rectal prolapse in elderly patients became a major concern in terms of the decision of the treatment modalities and quality of life of patients. Most elderly patients with rectal prolapse in the past received a perineal approach with the fear of general anesthetic complications rather than the abdominal approach. However, improvement in perioperative care in anesthesiology and minimally invasive surgery, the trend of surgical management of rectal prolapse is rapidly changing. Minimally invasive surgery including the laparoscopic and robotic surgeries showed comparable short-term outcomes even in elderly patients. Recently published guidelines also recommended a laparoscopic abdominal approach for the management of rectal prolapse.