{"title":"内镜下粘膜推进术在慢性吻合口瘘治疗中的应用1例","authors":"Qunmin Wang, Feixia Wang, Saisai Wang, Hanju Hua","doi":"10.1016/j.lers.2022.05.003","DOIUrl":null,"url":null,"abstract":"<div><p>Anastomotic leakage is one of the most serious postoperative complications after colorectal surgery. A fistula or chronic sinus formation is one kind of anastomotic leakage. Most fistulas may heal after conservative treatment, but some patients will develop a chronic anastomotic leakage, which definitely requires elective surgery due to the formation of a sinus tract or an internal fistula. This study reports a case of an 88-year-old man with sigmoid colon cancer who developed a chronic anastomotic leakage after colorectal surgery. Endoscopic mucosal advancement combined with titanium clips was successfully performed to close the fistula. The patient was discharged 12 days after the operation and resumed a normal diet 1 week after discharge. Endoscopic mucosal advancement could be an alternative choice for the treatment of chronic anastomotic leakage and can prevent a secondary surgery; however, good bowel preparation and strict inclusion criteria are required.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"5 3","pages":"Pages 124-127"},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468900922000299/pdfft?md5=fc7dba8b40db73839d296f39db7d3864&pid=1-s2.0-S2468900922000299-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Application of endoscopic mucosal advancement in the treatment of chronic anastomotic leakage: A case report\",\"authors\":\"Qunmin Wang, Feixia Wang, Saisai Wang, Hanju Hua\",\"doi\":\"10.1016/j.lers.2022.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Anastomotic leakage is one of the most serious postoperative complications after colorectal surgery. A fistula or chronic sinus formation is one kind of anastomotic leakage. Most fistulas may heal after conservative treatment, but some patients will develop a chronic anastomotic leakage, which definitely requires elective surgery due to the formation of a sinus tract or an internal fistula. This study reports a case of an 88-year-old man with sigmoid colon cancer who developed a chronic anastomotic leakage after colorectal surgery. Endoscopic mucosal advancement combined with titanium clips was successfully performed to close the fistula. The patient was discharged 12 days after the operation and resumed a normal diet 1 week after discharge. Endoscopic mucosal advancement could be an alternative choice for the treatment of chronic anastomotic leakage and can prevent a secondary surgery; however, good bowel preparation and strict inclusion criteria are required.</p></div>\",\"PeriodicalId\":32893,\"journal\":{\"name\":\"Laparoscopic Endoscopic and Robotic Surgery\",\"volume\":\"5 3\",\"pages\":\"Pages 124-127\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2468900922000299/pdfft?md5=fc7dba8b40db73839d296f39db7d3864&pid=1-s2.0-S2468900922000299-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laparoscopic Endoscopic and Robotic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2468900922000299\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laparoscopic Endoscopic and Robotic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468900922000299","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Application of endoscopic mucosal advancement in the treatment of chronic anastomotic leakage: A case report
Anastomotic leakage is one of the most serious postoperative complications after colorectal surgery. A fistula or chronic sinus formation is one kind of anastomotic leakage. Most fistulas may heal after conservative treatment, but some patients will develop a chronic anastomotic leakage, which definitely requires elective surgery due to the formation of a sinus tract or an internal fistula. This study reports a case of an 88-year-old man with sigmoid colon cancer who developed a chronic anastomotic leakage after colorectal surgery. Endoscopic mucosal advancement combined with titanium clips was successfully performed to close the fistula. The patient was discharged 12 days after the operation and resumed a normal diet 1 week after discharge. Endoscopic mucosal advancement could be an alternative choice for the treatment of chronic anastomotic leakage and can prevent a secondary surgery; however, good bowel preparation and strict inclusion criteria are required.
期刊介绍：
Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development.
Topics of interests include, but are not limited to:
▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.;
▪ Basic research in minimally invasive surgery;
▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging;
▪ Development of medical education in minimally invasive surgery.
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