Journal of Surgery Concepts & Practice >

2023 , Vol. 28 >Issue 02: 132 - 138

DOI: https://doi.org/10.16139/j.1007-9610.2023.02.09

Original article

Transanal total mesorectal excision in re-operation for anastomosis recurrence rectal cancer

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  • 1. Department of General Surgery, Zhoushan Hospital, Zhejiang Zhoushan 316000, China
    2. Department of General Surgery, Shanghai Minimally Invasive Surgery Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2022-06-14

  Online published: 2023-06-06

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Abstract

Objective To investigate the feasibility and safety of transanal total mesorectal excision (TaTME) in re-operation for anastomosis recurrence rectal cancer. Methods Five patients with anastomosis recurrence rectal cancer underwent TaTME at Ruijin Hospital between April 2020 and December 2021 were retrospectively enrolled in this study. The peri-operative situation, pathological examination, and short-term follow-up results were analyzed. Results All cases were operated laparoscopic TaTME successfully. The operative time was (206.00±19.49) min without intraoperative complications. One case encountered incorrect dissection plane. Anastomotic leakage occurred in one case and anastomotic stenosis developed in another case. The specimens quality of mesorectum deemed complete in all cases without both positive circumferential resection margin and positive distal resection margin. There was (15.20±2.39) months of median follow-up and one case found defecation disorder. Tumor recurrence, metastasis and tumor-related death were not found. Conclusions For patients with anastomosis recurrence rectal cancer, laparoscopic TaTME procedure is novel type and would be safe and effective surgical approach with satisfactory short-term follow-up.

Key words： Transanal total mesorectal excision; Rectal cancer; Anastomosis recurrence; Transanal minimal invasive surgery

Cite this article

PAN Linfeng, XU Ximo, Batuer Aikemu, DENG Yang, ZHANG Sen, QIN Wei, SHU Duohuo, CAI Zhenghao, SONG Haiqin, YANG Xiao, ZHONG Hao, HU Yanyan, LI Jianwen, FENG Bo . Transanal total mesorectal excision in re-operation for anastomosis recurrence rectal cancer[J]. Journal of Surgery Concepts & Practice, 2023 , 28(02) : 132 -138 . DOI: 10.16139/j.1007-9610.2023.02.09

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