Effect of partial rectal resection with transanal stapler in the treatment of rectum protrusion

Objective\r\nTo investigate the clinical effect of transanal stapler partial rectal resection for rectocele.\r\n\r\n\r\nMethods\r\nFrom January 2012 to January 2018, 90 patients with rectocele treated in Changzhi Traditional Chinese Medicine Hospital were divided into control group (45 cases) and observation group (45 cases) according to the operation method.The control group was treated with closed transrectal repair, while the observation group was treated with partial rectal resection with anal stapler.The operative effect, incidence of postoperative complications, recurrence rate, degree of pain after operation, length of hospital stay and cost of treatment were compared between the two groups.\r\n\r\n\r\nResults\r\nThe total effective rate of the two groups was 100.0%.The incidence of complications in the observation group was 2.2%(1/45), which was lower than that in the control group [17.8%(8/45)] (χ2=4.444, P=0.035). The recurrence rate in the observation group was 0(0/45), which was lower than that in the control group [13.3%(6/45)] (χ2=4.464, P=0.035). The hospitalization time in the observation group was shorter than that in the control group[(7.01±2.06)d vs.(11.31±2.42)d]. Compared with the control group, the treatment cost of the observation group was higher[(0.836±0.164)×104CNY vs.(0.605±0.136)×104CNY], and the post-operative pain score was lower[(4.24±1.33) vs.(6.45±1.17)](t=9.076, 7.273, 8.369, all P\u003c0.001).\r\n\r\n\r\nConclusion\r\nTransanal stapler partial rectal resection is effective in the treatment of rectocele, with less complications, lower recurrence rate and less pain after operation, but the cost of treatment is higher.\r\n\r\n\r\nKey words: \r\nRectocele; Proctocolectomy, restorative; Anal canal; Closed rectal repair; Postoperative complications; Pain, postoperative; Recurrence rate; Fees, medical