Clinical analysis of a novel stent assisted ileal bypass for preventing anastomotic leakage in Da Vinci robot anus-preserving surgery of low rectal cancer
10.3760/cma.j.cn113855-20241104-00669
- VernacularTitle:达芬奇机器人低位直肠癌保肛手术中支架法回肠转流术预防吻合口漏的临床分析
- Author:
Jianing YAN
1
;
Yongfang YIN
;
Jiabin YANG
;
Zhilong YAN
;
Jianming XIE
Author Information
1. 浙江大学医学院附属邵逸夫医院普外科，杭州 310016
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Stent;
Anastomotic leakage;
Robot
- From:
Chinese Journal of General Surgery
2025;40(2):114-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and effectiveness of ileal bypass with stent to prevent anastomotic leakage in Da Vinci robot anus-preserving surgery for low rectal cancer.Methods:From Dec 2021 to Sep 2024, the clinical data of 55 patients undergoing robot anus-preserving surgery and stent ileal bypass for low rectal cancer in the First Affiliated Hospital of Ningbo University was analyzed retrospectively.Results:All the 55 patients successfully completed the operation. Among them, 47 patients underwent low anterior resection and 8 patients did sphincter resection. The total operation time was (207±37)min, the operation time of ileal bypass was (24±3)min, and the intraoperative blood loss was (32±18)ml. After operation, the time of stent disintegration was (23.93± 2.87) days, and the time of catheter removal was (29.55 ± 3.21) days. By postoperative TNM staging, there were 12 cases in T1 stage, 26 cases in T2 and 17 cases in T3. The number of lymph node dissection was (16.84±4.50), 15 cases being positive for lymph node metastasis, 40 cases being negtive for lymph node metastasis, 36 cases were stage Ⅰ, 4 cases were stage Ⅱ and 15 cases were stage Ⅲ. The median follow-up time was 20 (2-35) months. Delayed anastomotic leakage occurred in 1 patient and anastomotic stenosis occurred in 2 patients.Conclusion:Stent ileal bypass is safe and effective to prevent anastomotic leakage in Da Vinci robot anus-preserving surgery for low rectal cancer.
