Outcome of Laparoscopic Rectopexy for Complete Rectal Prolapse in Patients Older than 70 Years Versus Younger Patients

Abstract

The outcome of laparoscopic rectopexy in elderly patients is similar to that in younger patients. Therefore, advanced age alone should not be a contraindication to laparoscopic rectopexy.

Laparoscopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients

“…There was no difference in operation time between the laparoscopic and open rectopexy groups in our study. Our laparoscopic operating time was short compared to that of previous reports [3,5,[16][17][18]26]. However, the laparoscopic resection rectopexy took more time than the open operations.…”

“…Perineal approaches have been reserved for elderly and unfit patients of high anesthetic risk. Kaiwa and co-workers [17] reported safe and effective results in nine elderly laparoscopically treated rectopexy patients who were in good general health (ASA I or II) and concluded that advanced age is not a contraindication to laparoscopic surgery, but a higher ASA score should be considered a contraindication. In our study, half of the patients were scored ASA III or IV (Table 1), but nevertheless the perioperative morbidity was minimal (Table 3).…”

Day case laparoscopic rectopexy is feasible, safe, and cost effective for selected patients

“…In addition, age alone is not a contradiction for this procedure, with good results and early recovery being seen even among the elderly [17][18][19].…”

Outcome of laparoscopic rectopexy versus perineal rectosigmoidectomy for full-thickness rectal prolapse in elderly patients

“…Laparoscopic abdominal procedures have potential benefits of a minimally invasive approach, including less pain, shorter hospitalization, earlier recovery, and fewer complications, compared with open abdominal procedures. The study by Kaiwa et al [13] showed that there was no significant difference in the hospitalization, complications, or recurrences between nine patients older than aged 70 years and five patients younger (median age, 77 vs. 49 years). They concluded that advanced age alone should not be a contraindication to laparoscopic rectopexy.…”

“…In those studies, functional outcome and recurrence rates were similar between laparoscopic abdominal surgery and open surgery. Several studies have shown that laparoscopic surgery was as safe and feasible in elderly patients compared with younger patients [11][12][13]. Therefore, laparoscopic rectopexy with or without resection may a safe surgical option for elderly patients.…”