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Treatment of a Total Obstructive Anastomosis Stricture Using a Transanal Laparoscopic Approach and Intraoperative Colonoscopic Balloon Dilatation

Annals of Coloproctology 2020년 36권 5호 p.353 ~ 356
곽재영, 양관모, 서현일,
소속 상세정보
곽재영 ( Kwak Jae-Young ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Surgery
양관모 ( Yang Kwan-Mo ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Surgery
서현일 ( Seo Hyun-Il ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Internal Medicine

Abstract


An anastomosis stricture with a total obstruction is rare and treatment options are variable. We describe our experience with a combination of a single port transanal laparoscopic approach and intraoperative colonoscopic balloon dilatation. The patient was a 48-year-old man with rectal cancer. A laparoscopic single port lower anterior resection and diverting ileostomy were performed followed by a colon study and ileostomy takedown. The colon study and sigmoidoscopy revealed total obstruction of the rectum at the anastomosis level. We employed a transanal approach using a single port to correct this. We located the anastomosis stricture site and generated a lumen using a dissector and electocautery method to insert the balloon device. Colonoscopic balloon dilatation was subsequently successful. The patient was discharged with no postoperative complications. A laparoscopic single port transanal approach with an intraoperative colonoscopic balloon dilatation is a viable alternative approach to treating an anastomosis stricture of the rectum.

키워드

Anastomosis; Stricture; Transanal; Balloon

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