Scarless Two-Stage Delayed Coloanal Anastomosis: A Technique Description
| Autor: | Hani Bendib, Hind Oukrine, Nabil Djelali, Said Lahrech, Ameur Elbahi, Chemseddine Chekman, Abdelghani Azzouz, Abdelkrim Anou, Azeddine Djennaoui |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Coloproctology, Vol 43, Iss 01, Pp 056-060 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2237-9363 2317-6423 |
| DOI: | 10.1055/s-0043-1764166 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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