1.Prevention and management of pure-NOTES transanal total mesorectal excision for rectal cancer with postoperative anastomotic complications
Zhen RONG ; Gang YU ; Xiaoming WANG ; Ruichao GENG ; Xiangzhi WANG ; Longyi CHEN ; Fan YANG ; Xue LIU ; Yongjuan LI
International Journal of Surgery 2018;45(8):519-522,封3
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.
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