Scarless two-stage delayed coloanal anastomosis: a technique description
J. coloproctol. (Rio J., Impr.)
;
43(1): 56-60, Jan.-Mar. 2023. ilus
Artigo
em Inglês
| LILACS
| ID: biblio-1430690
ABSTRACT
Introduction:
In current clinical practice, immediate coloanal anastomosis (ICA) remains the standard technique for restoring the gastrointestinal tract following coloproctectomy for low rectal cancer. This anastomosis still requires a temporary diverting stoma to decrease the postoperative morbidity, which remains significantly high. As an alternative, some authors have proposed a two-stage delayed coloanal anastomosis (TS-DCA). This article reports on the surgical technique of TS-DCA.Methods:
The case described is of a 53-year-old woman, without any particular history, in whom colonoscopy motivated by rectal bleeding revealed an adenocarcinoma of the low rectum. Magnetic resonance imaging showed a tumor ~ 1 cm above the puborectalis muscle, graded cT3N +. The extension workup was negative. Seven weeks after chemoradiotherapy, a coloproctectomy with total mesorectal excision (TME) was performed. A TS-DCA was chosen to restore the digestive tract.Conclusion:
Two-stage delayed coloanal anastomosis is a safe and effective alternative for restoring the digestive tract after proctectomy for low rectal cancer. Recent data seem to show a clear advantage of this technique in terms of morbidity. (AU)
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Canal Anal
/
Anastomose Cirúrgica
/
Colo
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
J. coloproctol. (Rio J., Impr.)
Assunto da revista:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterologia
/
Cirurgia
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Argélia
Instituição/País de afiliação:
Algiers 1 University/DZ
/
Blida 1 University/DZ
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