Preliminary efficacy of video-assisted anal fistula treatment for complex anal fistula.
- Author:
Hailong LIU
1
;
Yihua XIAO
;
Yong ZHANG
;
Zhihui PAN
;
Jian PENG
;
Wenxian TANG
;
Ajian LI
;
Lulu ZHOU
;
Lu YIN
;
Moubin LIN
Author Information
- Publication Type:Journal Article
- MeSH: Fecal Incontinence; Humans; Length of Stay; Minimally Invasive Surgical Procedures; Operative Time; Rectal Fistula; Sutures
- From: Chinese Journal of Gastrointestinal Surgery 2015;18(12):1207-1210
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the preliminary efficacy of video-assisted anal fistula treatment (VAAFT) for complex anal fistula.
METHODSClinical data of 11 consecutive patients with complex anal fistula undergoing VAAFT in our department from May to July 2015 were reviewed. VAAFT was performed to manage the fistula under endoscope without cutting or resection.
RESULTSVAAFT was successfully performed in all the 11 patients. The internal ostium was closed using mattress suture in 10 cases, and Endo-GIA stapler in 1 case. The mean operative time was (42.0±12.4) min, mean hospital stay was (4.1±1.5) d. Complication included bleeding and perianal infection in 1 case respectively. After 1 to 3.2 months follow-up, success rate was 72.7%(8/11), and no fecal incontinence was observed.
CONCLUSIONVideo-assisted anal fistula treatment is an effective, safe and minimally invasive surgical procedure for complex anal fistula with preservation of anal sphincter function.
