Scarless two-stage delayed coloanal anastomosis: a technique description
J. coloproctol. (Rio J., Impr.)
; 43(1): 56-60, Jan.-Mar. 2023. ilus
Article
in En
| LILACS
| ID: biblio-1430690
Responsible library:
BR545.3
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)Key words
Full text:
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Index:
LILACS
Main subject:
Anal Canal
/
Anastomosis, Surgical
/
Colon
Limits:
Female
/
Humans
Language:
En
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
GASTROENTEROLOGIA
/
Cirurgia
Year:
2023
Type:
Article