Abstract
We present a case of successful minimally invasive treatment of a completely obstructed rectal anastomosis by using a transanal plasmakinetic resectoscope, along with a review of the relevant literature. A 75-year-old man underwent low anterior resection for rectal cancer. Complete obstruction of the rectal anastomosis was visualized at 6.0 cm from the anal verge, 5 months later. We carefully cut at the center of the circular staple line to find the orifice of anastomosis with a plasmakinetic resectoscope. Then, a sufficient amount of fibrotic tissue at the stenosis was resected to maintain the continuity of the bowel. At 4 months follow-up, the patient had complete resolution of symptoms. Transanal plasmakinetic resection is a possible choice for treatment of a completely obstructed colorectal anastomosis. However, these techniques have risks and should be implemented with great caution in selected patients by skilled endoscopists or surgeons.
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This study was supported by the First Hospital of Jilin University.
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Jinguo Wang was the lead investigator, drafted the article, and performed the surgery and revised the manuscript; Na Wang drafted the article, reviewed the literature, and revised the manuscript; Daguang Wang reviewed the literature, drafted the article, and made critical revisions to the manuscript; Weihua Tong was the assistant surgeon, drafted the article, collected the patient’s information, and gave the final approval of the manuscript.
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Wang, N., Wang, D., Tong, W. et al. Minimally Invasive Treatment of a Completely Obstructed Rectal Anastomosis by Using a Transanal Plasmakinetic Resectoscope: a Case Report and Review of Literature. Indian J Surg 83, 1127–1133 (2021). https://doi.org/10.1007/s12262-020-02674-1
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DOI: https://doi.org/10.1007/s12262-020-02674-1