Uchiyama Shuichiro, Ikeda Naotaka, Oyama Tomohiro, Eguchi Mayumi, Ito Ayaka, Sato Rikiya, Toyosaki Ryoichi, Kitazono Masaki, Suenaga Toyokuni
Department of Surgery, Nanpuh Hospital, Kagoshima-city, Kagoshima, Japan.
J Surg Case Rep. 2022 May 18;2022(5):rjac236. doi: 10.1093/jscr/rjac236. eCollection 2022 May.
Cases of delayed colo-anal anastomosis (DCAA) are currently reported instead of the colo-anal anastomosis with a protective loop ileostomy for rectal cancer. Post-operative colonic ischemia is considered as one of the serious complications of colorectal resection. Although indication of DCAA should be carefully selected, we experienced a case of post-operative stenosis caused by colonic ischemia after low anterior resection for rectal cancer, followed by this procedure.
目前报道的是延迟结肠肛管吻合术(DCAA)的病例,而非直肠癌结肠肛管吻合术加保护性回肠造口术。术后结肠缺血被认为是结直肠切除术后的严重并发症之一。尽管DCAA的适应证应谨慎选择,但我们遇到了一例直肠癌低位前切除术后因结肠缺血导致术后狭窄的病例,随后采用了该手术方法。