Table 8.
Comparison among the Results of Different Procedures Reviewed.
| Laparoscopic | Perineal | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Total | LSR | LPMR | LVMR | LRR | Total | Delorme | Altemeier | ||
| No. of studies | 35 | 7 | 9 | 9 | 10 | 35 | 17 | 18 | |
| Total number of patients | 1,711 | 202 | 327 | 680 | 502 | 2,464 | 770 | 1,694 | |
| Morbidity,% | 12 (202/1,635) | 14 (23/170) | 11 (37/327) | 9 (55/636) | 17 (87/502) | 14 (350/2,464) | 18 (135/770) | 13 (216/1,694) | |
| Mortality, % | 0.5 (8/1,711) | 0 (0/202) | 0.3 (1/327) | 0.3 (2/680) | 1 (5/502) | 0.7 (18/2,464) | 1 (10/770) | 0.5 (8/1,694) | |
| Recurrence, % | 3 (52/1,711) | 5 (10/202) | 4 (12/327) | 2 (15/680) | 3 (15/502) | 18 (432/2,464) | 20 (154/770) | 16 (278/1,694) | |
| Improvement of continence, % | 71 (391/548) | 64 (28/44) | 81 (106/131) | 76 (134/176) | 64 (123/197) | 63 (353/562) | 74 (188/253) | 53 (165/309) | |
| Improvement of constipation, % | 57 (237/413) | 28 (7/25) | 40 (35/87) | 68 (95/139) | 62 (100/162) | 57 (198/305) | 58 (51/88) | 68 (147/217) | |
| New onset of constipation, % | 16 (52/334) | 17 (9/54) | 22 (39/178) | 3 (1/32) | 4 (3/70) | 0 (0/94) | 0 (0/72) | 0 (0/22) | |
| Follow up in months (range) | 34 (8-74) | 30 (24-48) | 24 (8-46) | 49 (18-74) | 36 (12-62) | 36 (6-85) | 36 (6-85) | 34 (13-50) | |
LSR, laparoscopic suture rectopexy; LPMR, laparoscopic posterior mesh rectopexy; LVMR, laparoscopic ventral mesh rectopexy; LRR, laparoscopic resection rectopexy; parentheses, number of applicable patients/ population, otherwise indicated.