Endoskopie 2010; 19(1): 9-13

Robotic system da Vinci in the treatment of complete rectal prolaps

MUDr.Petr Vlček, Ph.D.¹, doc.MUDr.Lenka Veverková, Ph.D.¹, prof.MUDr.Ivan Čapov, CSc.¹, MUDr.Jiří Korbička, Ph.D.¹, MUDr.Štěpán Chalupník¹, MUDr.Václav Jedlička, Ph.D.¹, MUDr.Jan Doležel, Ph.D.¹, MUDr.Bohuslav Kianička, Ph.D.², MUDr.Petra Vlčková³, MUDr.Jiří Dolina, Ph.D.³, MUDr.Dagmar Zvoníčková⁴

¹ I. chirurgická klinika LF MU a FN u sv. Anny v Brně

² Gastroenterologické oddělení II. interní kliniky LF MU a FN u sv. Anny v Brně

³ Interní hepatogastroenterologická klinika FN Brno

⁴ Anesteziologicko-resuscitační klinika FN u sv. Anny v Brně

Aim: The aim of this study was to evaluate the functional and clinical results after surgical treatment in the patients with complete rectal

prolaps during three years period in the Ist Dept of Surgery St. Ann´s University Hospital, Brno.

Methods: Between May 2006 and May 2009 37 patients underwent surgical therapy -robotic assisted resection suture rectopexy, anterior

sling (Ripstein) or posterior sling (Wells) rectopexy. Before the operation a detailed clinical history was collected, and the patients

were studied by inspection and digital examination of the anorectum, endoscopy, pancolonic transit time, defecography, anorectal

manometry and anal electromyography. After the operation all patients underwent perineal physiotherapy and perineal biofeedback.

Results: We are comparing functional and morphologic results after operations. The basal pressure of the anal sphincter, squeezing

pressure, rectoanal reflex, don´t improved significantly, but perianal pain and evacuation dysorders improved significantly.

Conclusion: Transabdominal surgery for complete rectal prolapse between anothers performances (transperineal, transanal) seems to

be most comprehensive, with adequate functional results, and one of the main indication of the use of da Vinci robotic system in colorectal

surgery resolving this area.

Keywords: rectal prolaps, laparoscopy, robotic system da Vinci, rectopexy, constipation, incontinence

Published: April 28, 2010  Show citation