Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review)
https://doi.org/10.33878/2073-7556-2023-22-4-113-120
Abstract
Background: transanal endoscopic microsurgery (TEM) is a safe method of local excision of benign tumor and early cancer. Emphysema is rare complication after transanal procedures, occurring only in 1.5%. There is no accepted approach for these patients. AIM: definition and treatment options of ectopic air after TEM.
Materials and Methods: the search was performed using PubMed and e-Library database with the following keywords: «transanal», «emphysema», «microsurgery», «pneumoperitoneum». Data about patients, symptoms, complications, treatment and results were extracted and systematized.
Results: the clinical emphysema rate after TEM was 0,02%. The most frequent symptoms is crepitation in lower abdomen and fever. Increase in C-reactive protein level and leukocytosis — important markers. The method of choice for diagnosis is computed tomography. Management of emphysema symptoms is possible with conservative methods.
Conclusion: the accumulation of experience in the treatment of emphysema after TEM will allow a unified approach of managing these patients.
About the Authors
E. A. Khomyakov
Ryzhikh National Medical Research Center of Coloproctology;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Evgeniy A. Khomyakov, Salyama Adilya st., 2, Moscow, 123423;
Barrikadnaya st., 2/1, Moscow, 125993
T. A. Eryshova
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Tatyana A. Eryshova,
Salyama Adilya st., 2, Moscow, 123423
M. V. Kapitanov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Mikhail V. Kapitanov,
Salyama Adilya st., 2, Moscow, 123423
S. V. Chernyshov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Stanislav V. Chernyshov,
Salyama Adilya st., 2, Moscow, 123423
E. G. Rybakov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Evgeny G. Rybakov,
Salyama Adilya st., 2, Moscow, 123423
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Review
For citations:
Khomyakov E.A., Eryshova T.A., Kapitanov M.V., Chernyshov S.V., Rybakov E.G. Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review). Koloproktologia. 2023;22(4):113-120. https://doi.org/10.33878/2073-7556-2023-22-4-113-120
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