Ammendola Michele, Ammerata Giorgio, Filice Francesco, Filippo Rosalinda, Ruggiero Michele, Romano Roberto, Memeo Riccardo, Pessaux Patrick, Navarra Giuseppe, Montemurro Severino, Currò Giuseppe
Science of Health Department, Digestive Surgery Unit, RinggoldID:9325University "Magna Graecia" Medical School, Catanzaro, Italy.
Hepato-Biliary and Pancreatic Surgical Unit, "F. Miulli" Hospital, Bari, Italy.
Surg Innov. 2023 Feb;30(1):20-27. doi: 10.1177/15533506221090995. Epub 2022 May 17.
Colorectal cancer (CRC) is the second most common gastrointestinal tumor in men and the third in women. Left-hemicolectomy (LC) and low anterior resection (LAR) are considered the gold standard curative treatment. In this retrospective study, we evaluated the presence or absence of post-operative complications, in all patients who underwent Video-laparoscopic (VLS) LAR/LC with No Coil trans-anal tube positioning, and compared the data with the current literature on the topic.
Thirty-nine patients diagnosed with CRC of the descending colon, splenic flexure, sigma, and rectum were recruited. LC was performed for sigmoid and descending colon cancers, while LAR was applied for tumors of the upper two-thirds of the rectum. The No Coil trans-anal tube (SapiMed Spa, Alessandria, Italy) was placed in all patients of the study at the end of surgical treatment.
Eighteen patients received a LAR-VLS (46%) and 21 patients received a LC-VLS (54%). The average length of hospital stay after surgery was 7 days. PPOI occurred in only one in 39 patients (2.6%) who had undergone LAR-VLS. As for complications, in no patient of the study did AL (0%) occur.
In patients undergoing LAR-VLS and LC-VLS, we performed colorectal anastomosis and in the same surgical operation we introduced the No-Coil device. Although this is a preliminary study and subject to further investigation, we believe that the No Coil tube positioning may reduce the time of presence of first flatus and feces and the risk of AL.
结直肠癌（CRC）是男性中第二常见的胃肠道肿瘤，在女性中为第三常见。左半结肠切除术（LC）和低位前切除术（LAR）被认为是标准的根治性治疗方法。在这项回顾性研究中，我们评估了所有接受无线圈经肛门管定位的视频腹腔镜（VLS）LAR/LC患者术后并发症的发生情况，并将数据与该主题的现有文献进行了比较。
招募了39例被诊断为降结肠、脾曲、乙状结肠和直肠癌的患者。乙状结肠和降结肠癌行LC，直肠上三分之二的肿瘤行LAR。在手术治疗结束时，研究中的所有患者均放置了无线圈经肛门管（意大利亚历山德里亚的SapiMed Spa公司）。
18例患者接受了LAR-VLS（46%），21例患者接受了LC-VLS（54%）。术后平均住院时间为7天。在接受LAR-VLS的39例患者中，仅1例（2.6%）发生了术后肠梗阻（PPOI）。至于并发症，研究中无患者发生吻合口漏（AL，0%）。
在接受LAR-VLS和LC-VLS的患者中，我们进行了结直肠吻合，并在同一手术操作中引入了无线圈装置。尽管这是一项初步研究，有待进一步调查，但我们认为无线圈管定位可能会减少首次排气和排便的时间以及吻合口漏的风险。
