Perioperative management and operative treatment of malignant tumor of anal canal merging severe abdominal protuberance.
10.3760/cma.j.cn441530-20221025-00430
- VernacularTitle:肛管恶性肿瘤合并巨腹征围手术期处理及机器人辅助手术治疗
- Author:
Yan Zhen ZHANG
1
;
Quan Bo ZHOU
1
;
Hai Feng SUN
1
;
Fu Qi WANG
1
;
Wen Ming CUI
1
;
Wei Tang YUAN
1
Author Information
1. Department of Colorectal Surgery,the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450001, China.
- Publication Type:Journal Article
- MeSH:
Male;
Humans;
Aged;
Anal Canal/surgery*;
Colon/surgery*;
Colectomy;
Anus Diseases/surgery*;
Adenocarcinoma/surgery*;
Digestive System Abnormalities/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(7):697-700
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To report the perioperative management and robot-assisted minimally invasive surgery results of one case with malignant tumor of anal canal combined with severe abdominal distention. Methods: A 66-year-old male suffer from adenocarcinoma of anal canal (T3N0M0) with megacolon, megabladder and scoliosis. The extreme distention of the colon and bladder result in severe abdominal distention. The left diaphragm moved up markedly and the heart was moved to the right side of the thoracic cavity. Moreover, there was also anal stenosis with incomplete intestinal obstruction. Preoperative preparation: fluid diet, intravenous nutrition and repeated enema to void feces and gas in the large intestine 1 week before operation. Foley catheter was placed three days before surgery and irrigated with saline. After relief of abdominal distention, robotic-assisted abdominoperineal resection+ subtotal colectomy+colostomy was performed. Results: Water intake within 6 hours post-operatively; ambulance on Day 1; anal passage of gas on Day 2; semi-fluid diet on Day 3; safely discharged on Day 6. Conclusion: Robotic-assisted minimally invasive surgery is safe and feasible for patients with malignant tumor of anal canal combined with severe abdominal distention after appropriate and effective preoperative preparation to relieve abdominal distention.
