Prevention and management of pure-NOTES transanal total mesorectal excision for rectal cancer with postoperative anastomotic complications
10.3760/cma.j.issn.1673-4203.2018.08.005
- VernacularTitle:完全经肛全直肠系膜切除术后吻合口并发症的防治
- Author:
Zhen RONG
1
;
Gang YU
;
Xiaoming WANG
;
Ruichao GENG
;
Xiangzhi WANG
;
Longyi CHEN
;
Fan YANG
;
Xue LIU
;
Yongjuan LI
Author Information
1. 临淄区人民医院肛肠外科
- Keywords:
Rectal neoplasms;
Postoperative complications;
Surgical stomas;
Anastomotic leak;
Anastomotic stenosis;
Anastomotic bleeing
- From:
International Journal of Surgery
2018;45(8):519-522,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the the preventive and management methods of pure-NOTES transanal total mesorectal excision (pure-NOTES TaTME) with postoperative anastomotic complications.Methods Retrospectively analyzed the clinical data of 59 cases with low and middle rectal cancer who were underment pure-NOTES TaTME in Linzi District People's Hospital,and discussed the situction of the complications.Results Postoperative anastomotic complications were occurred in 3 cases,anastomotic leakage in 1 case,anastomotic stenosis in 1 case,anastomotic stenosis and leakage in 1 case,accounting for 5.1％.Conclusions For suitable rectal neoplasms patients,pure-NOTES TaTME operation doesn't increase the incidence of anastomotic complication,and it's is safe and feasible.Preoperative preparation,good blood supply,tension-free anastomosis,and correct choice and using of stapler and anastomotic drainage tube are the key to reduce anastomotic complications.
