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初次经肛门全直肠系膜切除术后再次行经肛门全直肠系膜切除(Re-TaTME);可行吗?

Redo transanal total mesorectal excision (Re-TaTME) after initial TaTME; is it possible?

作者信息

Metwally Islam H, Romero José A, Coello Pablo C, Noguera José F

机构信息

Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Mansoura, Dakahlia, Egypt.

Service of General and Digestive Surgery, Complejo Hospital Universitario A Coruña (CHUAC), La Coruña, Galicia, Spain.

出版信息

AME Case Rep. 2018 Feb 26;2:6. doi: 10.21037/acr.2018.01.07. eCollection 2018.

Abstract

Rectal cancer is one of the commonest human malignancies. Treatment of this serious disease conventionally involves resection with/without anastomosis. Anastomotic site stenosis is a serious complication of rectal resection for which treatment is still evolving. We report a male patient treated with minimally invasive abdominal and anal approach for stenosis after initial transanal total mesorectal excision (TaTME) for rectal cancer. Surgeons are encouraged to put this technique in their mind while treating similar cases.

摘要

直肠癌是人类最常见的恶性肿瘤之一。这种严重疾病的传统治疗方法包括有/无吻合的切除术。吻合口狭窄是直肠切除术后的一种严重并发症,其治疗仍在不断发展。我们报告了一名男性患者,该患者最初因直肠癌接受经肛门全直肠系膜切除术(TaTME)后出现狭窄,随后采用微创腹部和肛门联合入路进行治疗。鼓励外科医生在治疗类似病例时考虑这种技术。

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