Prevention and management of pure-NOTES transanal total mesorectal excision for rectal cancer with postoperative anastomotic complications / 国际外科学杂志
International Journal of Surgery
; (12): 519-522,封3, 2018.
Article
en Zh
| WPRIM
| ID: wpr-693272
Biblioteca responsable:
WPRO
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.
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WPRIM
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Zh
Revista:
International Journal of Surgery
Año:
2018
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Article