The first experience in the treatment of colorectal anastomosis fistulas using a platform for transanal endomicrosurgery
https://doi.org/10.33878/2073-7556-2024-23-2-100-107
Abstract
AIM: to demonstrate the first experience of using the platform for transanal endoscopic microsurgery treatment for fistula of the colorectal anastomosis.
PATIENTS AND METHODS: from October 2017 to March 2023 5 patients (36-77 years old) with persistent fistula of the colorectal anastomosis were included in the cohort. All of them underwent rectal resection for cancer. The surgery technique was presented on clinical case with defect of colorectal anastomosis on the posterior side up to 0.5 cm length with presacral sinus up to 2.5 cm in the largest dimension.
RESULTS: no postoperative morbidity developed. Patient discharged on the 6th day.
CONCLUSION: TEM platform allows to consider it promising approach for the persistent fistula of colorectal anastomosis.
About the Authors
S. I. Sychev
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
A. R. Alimova
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
M. V. Alekseev
Ryzhikh National Medical Research Center of Coloproctology;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
Barrikadnaya st., 2/1-1, Moscow, 125993, Russia
S. V. Chernyshov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
E. G. Rybakov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
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Review
For citations:
Sychev S.I., Alimova A.R., Alekseev M.V., Chernyshov S.V., Rybakov E.G. The first experience in the treatment of colorectal anastomosis fistulas using a platform for transanal endomicrosurgery. Koloproktologia. 2024;23(2):100-107. https://doi.org/10.33878/2073-7556-2024-23-2-100-107
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