Zbořil P, Skalický P, Starý L, Klementa I, Bébarová L, Konečný M, Janda P, Vysloužil K
Rozhl Chir. 2013 Oct;92(10):559-62.
The treatment of the stenoses of colorectal anastomoses represents a difficult area of colonic surgery. This is partly connected to the introduction of staplers and an increasing amount of sphincter-preserving surgeries. At our clinic, we solve the stenoses of colorectal anastomoses using a surgical rectoscope with a good effect.
We analysed retrospectively a group of 27 patients with benign stenosis of colorectal anastomosis of the medial and upper rectum who underwent surgery at our clinic in the period between January 2004 and December 2011. From the total amount of 27 patients, in 23 patients the stenosis was caused by the dehiscence of anastomosis, and in 4 patients the stenosis had a different etiology.
In the group of 27 patients, in 14 patients the stenosis of colorectal anatomosis was solved radiologically using a high pressure balloon. Total of 13 patients underwent surgery, in 10 of them we used the surgical rectoscope and 3 patients underwent an open abdominal procedure.
The first method of choice in treatment of the stenoses of the colorectal anastomoses is a balloon dilatation. If this is not successful we can use the surgical rectoscope as a minimally invasive though effective and safe method.
结直肠吻合口狭窄的治疗是结肠外科手术中的一个难题。这部分与吻合器的引入以及保留括约肌手术数量的增加有关。在我们诊所，我们使用手术直肠镜解决结直肠吻合口狭窄问题，效果良好。
我们回顾性分析了2004年1月至2011年12月期间在我们诊所接受手术的一组27例中高位直肠结直肠吻合口良性狭窄患者。在这27例患者中，23例狭窄是由吻合口裂开引起的，4例狭窄病因不同。
在27例患者中，14例结直肠吻合口狭窄通过高压球囊进行了放射学治疗。共有13例患者接受了手术，其中10例使用了手术直肠镜，3例接受了开腹手术。
治疗结直肠吻合口狭窄的首选方法是球囊扩张。如果不成功，我们可以使用手术直肠镜作为一种微创但有效且安全的方法。
