Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis
Annals of Coloproctology
;
: 157-162, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-115937
ABSTRACT
Four consecutive cases of a colonic stricture following a da Vinci robot-assisted ultra-low anterior resection (LAR) with coloanal anastomosis and diverting ileostomy for the treatment of rectal cancer are reported. The colonic strictures developed after early proximal colonic ischemia without anastomotic site leakage or disruption. All patients were treated with preoperative chemoradiation therapy. During the postoperative recovery period, patients developed colonic ischemia, presenting with a high, spiking fever, but without any symptoms of peritonitis. Patients were treated with conservative management (antibiotic therapy) and discharged after two weeks when in good condition. Several months after discharge, all four patients developed a long-segment colonic stricture from the anastomosis site to the distal colon. Management of the colon strictures, including the anastomotic site, involved colonic dilation with a Hegar dilator in an outpatient clinic for several months. The ileostomies in three patients could not be closed.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Peritonitis
/
Neoplasias del Recto
/
Ileostomía
/
Colon
/
Constricción Patológica
/
Fiebre
/
Instituciones de Atención Ambulatoria
/
Isquemia
Límite:
Humanos
Idioma:
Inglés
Revista:
Annals of Coloproctology
Año:
2015
Tipo del documento:
Artículo
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