Transanal minimally invasive surgery to rescue anastomosis following leak after low anterior resection: A case report

Toh, James Wei Tatt; Wang, Henry; Collins, Geoff; Beinke, Chelsea; Zhang, Elissa J; Escott, Alistair; El‐Khoury, Toufic; Pathma‐Nathan, Nimalan

doi:10.1016/j.lers.2021.09.001

Cited by 2 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, as technology has changed and there are more options available to surgeons, the equation is evolving. More recently, there have been reports of managing leaks using endoluminal wound vacuums and stents or repairing the defect using transanal approaches [ 7 , 8 , 12 , 13 ]. Although transanal approaches technically qualify as a need for re-operation, they allow the leak to be addressed with less morbidity than an intra-abdominal operation and stoma creation.…”

Section: Discussionmentioning

confidence: 99%

Transanal Minimally Invasive Surgery for Marsupialization of Chronic Abscess Cavity After Colorectal Anastomosis

McMahon¹,

Ma²

2023

Cureus

View full text Add to dashboard Cite

Anastomotic leaks are one of the most feared and morbid complications after colorectal anastomosis. Management of leaks depends on the severity of the leak and focuses on controlling sepsis and saving the anastomosis. The lower the anastomosis, the more amenable it is to transanal approaches for salvage. However, when a complication exists higher up in the rectum, the surgeon is more limited in the ability to visualize and intervene. With the advent of transanal minimally invasive surgery (TAMIS) and the advancement of endoscopic procedures, there are now more options for surgeons to visualize and intervene in anastomotic colorectal leaks. Prior reports have described the use of TAMIS for the management of anastomotic leaks in the acute phase. However, this same approach can be useful in the management of chronic leaks. This report highlights the benefit of TAMIS to allow visualization and marsupialization of a chronic abscess cavity following an anastomotic leak.

show abstract

Section: Discussionmentioning

confidence: 99%

Transanal Minimally Invasive Surgery for Marsupialization of Chronic Abscess Cavity After Colorectal Anastomosis

McMahon¹,

Ma²

2023

Cureus

View full text Add to dashboard Cite

show abstract

The first experience in the treatment of colorectal anastomosis fistulas using a platform for transanal endomicrosurgery

Sychev,

Alimova,

Alekseev

et al. 2024

Koloproktologiâ

View full text Add to dashboard Cite

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.

show abstract

Transanal minimally invasive surgery to rescue anastomosis following leak after low anterior resection: A case report

Cited by 2 publications

References 30 publications

Transanal Minimally Invasive Surgery for Marsupialization of Chronic Abscess Cavity After Colorectal Anastomosis

Transanal Minimally Invasive Surgery for Marsupialization of Chronic Abscess Cavity After Colorectal Anastomosis

The first experience in the treatment of colorectal anastomosis fistulas using a platform for transanal endomicrosurgery

Contact Info

Product

Resources

About