Totally laparoscopic resection rectopexy with transanal extraction of the specimen

Aim: The aim of this study is to show the functional and technical feasibility of hand-sewn verses stapler resection anastomosis, with transanal extraction of the resected colon in patients presenting with rectal prolapse and constipation. Materials and Methods: From January 2011 to 2016, a number of 16 totally laparoscopic resection rectopexies with intracorporeal anastomosis and transanal removal of specimen was performed in our institution. All patients had complete rectal prolapse with constipation. Of the 16 patients, nine had stapled anastomosis and seven had totally sutured intracorporeal anastomosis. Results: There were no leaks, no notable morbidity, and mortality in both groups. Time taken for hand-sewn anastomosis was longer (±47 min) and the cost was significantly less in this group. Conclusion: Totally laparoscopic resection rectopexy with transanal removal of the resected dolichosigmoid with either hand-sewn or stapled intracorporeal anastomosis, is a technically feasible option with excellent results in patients with constipation, and full thickness rectal prolapse.