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Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report
BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures usin...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419360/ https://www.ncbi.nlm.nih.gov/pubmed/30871591 http://dx.doi.org/10.1186/s12957-019-1592-x |
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author | Nepal, Pramod Mori, Shinichiro Kita, Yoshiaki Tanabe, Kan Baba, Kenji Uchikado, Yasuto Kurahara, Hiroshi Arigami, Takaaki Sakoda, Masahiko Maemura, Kosei Natsugoe, Shoji |
author_facet | Nepal, Pramod Mori, Shinichiro Kita, Yoshiaki Tanabe, Kan Baba, Kenji Uchikado, Yasuto Kurahara, Hiroshi Arigami, Takaaki Sakoda, Masahiko Maemura, Kosei Natsugoe, Shoji |
author_sort | Nepal, Pramod |
collection | PubMed |
description | BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures using minimally invasive approaches have also been reported. One of these procedures, endoscopic radial incision and cutting (RIC), has been extensively reported. However, RIC by transanal minimally invasive surgery (TAMIS) is yet to be reported. We here report a novel application of TAMIS for performing RIC for anastomotic rectal stenosis. CASE PRESENTATION: A 67-year-old man had suffered from constipation for 6 years after undergoing low anterior resection for stage II rectal cancer 7 years ago. Colonoscopy showed a 1-cm diameter stricture in the lower rectum. Balloon dilatation was performed many times because of repeated recurrences. Thus, surgical management was considered and the stricture was successfully excised via a RIC method using a TAMIS approach. Postoperatively, the patient had minimal leakage that resolved with conservative treatment. CONCLUSIONS: A RIC method using a TAMIS approach is an effective minimally invasive means of managing anastomotic strictures following rectal cancer surgery. |
format | Online Article Text |
id | pubmed-6419360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64193602019-03-27 Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report Nepal, Pramod Mori, Shinichiro Kita, Yoshiaki Tanabe, Kan Baba, Kenji Uchikado, Yasuto Kurahara, Hiroshi Arigami, Takaaki Sakoda, Masahiko Maemura, Kosei Natsugoe, Shoji World J Surg Oncol Case Report BACKGROUND: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures using minimally invasive approaches have also been reported. One of these procedures, endoscopic radial incision and cutting (RIC), has been extensively reported. However, RIC by transanal minimally invasive surgery (TAMIS) is yet to be reported. We here report a novel application of TAMIS for performing RIC for anastomotic rectal stenosis. CASE PRESENTATION: A 67-year-old man had suffered from constipation for 6 years after undergoing low anterior resection for stage II rectal cancer 7 years ago. Colonoscopy showed a 1-cm diameter stricture in the lower rectum. Balloon dilatation was performed many times because of repeated recurrences. Thus, surgical management was considered and the stricture was successfully excised via a RIC method using a TAMIS approach. Postoperatively, the patient had minimal leakage that resolved with conservative treatment. CONCLUSIONS: A RIC method using a TAMIS approach is an effective minimally invasive means of managing anastomotic strictures following rectal cancer surgery. BioMed Central 2019-03-14 /pmc/articles/PMC6419360/ /pubmed/30871591 http://dx.doi.org/10.1186/s12957-019-1592-x Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Nepal, Pramod Mori, Shinichiro Kita, Yoshiaki Tanabe, Kan Baba, Kenji Uchikado, Yasuto Kurahara, Hiroshi Arigami, Takaaki Sakoda, Masahiko Maemura, Kosei Natsugoe, Shoji Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title | Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title_full | Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title_fullStr | Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title_full_unstemmed | Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title_short | Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
title_sort | radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419360/ https://www.ncbi.nlm.nih.gov/pubmed/30871591 http://dx.doi.org/10.1186/s12957-019-1592-x |
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