東邦大学学術リポジトリ 東邦大学
ホーム お問い合わせ ログイン
| ホーム ニュース |

Language

検索

     詳細検索

インデックスツリー


詳細



閲覧数:52
ID 23578473
アイテムタイプ Article
このアイテムを表示する
本文 TohoJMed003002066.pdf
Type : application/pdf Download
Size : 240.2 KB
Last updated : Sep 4, 2017
Downloads : 21

Total downloads since Sep 4, 2017 : 21
URI
タイトル Laparoscopic Suture Rectopexy for Treatment of Refractory Full-Thickness Rectal Prolapse in 5 Patients Aged 90-100 Years
別タイトル
著者
Funahashi, Kimihiko
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kurihara, Akiharu
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Ushigome, Mitsunori
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kagami, Satoru
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Suzuki, Takayuki
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Koda, Takamaru
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kimura, Kazutaka
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Koike Junichi
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Shiokawa, Hiroyuki
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Imamura, Shigeki
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Miura, Yasuyuki
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kaneko, Tomoaki
Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
出版地 Tokyo
出版者 The Medical Society of Toho University
形態
上位タイトル
Toho Journal of Medicine (Toho Journal of Medicine). Vol.3, No.2  (2017. 6) ,p.66- 70
識別番号
ISSN
21891990
DOI
URI
JaLCDOI info:doi/10.14994/tohojmed.2016.028
抄録 Full-thickness rectal prolapse (FTRP) is common among elderly adults and greatly impairs quality of life. We report successful use of laparoscopic suture rectopexy to treat FTRP in 5 patients aged 90-100 years. The median age of patients was 92 years (range, 90-100 years). Three of the 5 patients had recurrent FTRP that was previously managed by a transperineal procedure. All patients had massive protrusion of the rectal wall (range 50-150 mm), and FTRP greatly adversely affected quality of life. No severe comorbidities were noted in any patient preoperatively. All patients had an American Society of Anesthesiologists physical status classification of II. Laparoscopic suture rectopexy for all patients was selected after consultation with anesthesiologists. Although there were no deaths, medical complications were observed in 3 patients: 2 developed mild heart failure (Clavien-Dindo classification, grade I) and one had AU20aspiration pneumonitis (Clavien-Dindo classification, grade III). There were no complications associated with laparoscopic suture rectopexy. All patients were able to return home after surgery. Our experience suggests that laparoscopic suture rectopexy without resection is beneficial for selected patients older than 90 years who are active and in good general health. However, when treating very elderly patients, cautious evaluation of operative risks and careful perioperative management are required in order to avoid surgical complications.
キーワード
refractory full-thickness rectal prolapse
very elderly
laparoscopic suture rectopexy
NDC
注記 Case Report
言語
eng
資源タイプ TOHO University Scholarly Publication
ジャンル Journal Article
著者版フラグ publisher
アクセス条件 東邦大学医学会
Index
/ Public / Toho Journal of Medicine / Vol.3 / No.2(p.50-74)
関連アイテム


RIKENThe XooNIps Project