PDF(Pubmed)
Abstract：
BACKGROUND: Anastomotic stenosis is a common complication of colorectal surgery with anastomosis. To explore a minimally invasive novel approach surgical method for the treatment of rectal anastomotic strictures using transurethral prostate resection instrumentation.
METHODS: From 2012 to 2022, 18 patients for the treatment of rectal anastomotic strictures using transurethral prostate resection instrumentation. The transurethral prostate resection instrumentation enters the rectum through the anus to incise the narrow anastomotic orifice in a 4-point radial manner under the resectoscope.
RESULTS: The surgery was successfully completed in 18 patients, and there were no postoperative complications. Postoperatively, 12 patients achieved satisfactory improvement in defecation after 1 incision, and 4 patients underwent another incision 3 months later. Two patients underwent incisions thrice, and the ease of defecation improved in a short period; however, they later underwent permanent colostomy due to repeated stenosis and pain.
CONCLUSIONS: The transanal 4-point radial incision of the prostate using transurethral prostate resection instrumentation is a minimally invasive, safe, effective, and simple surgical method for the treatment of rectal anastomotic stenosis supplemented by postoperative dilatation, and is worthy of clinical application.
METHODS: From 2012 to 2022, 18 patients for the treatment of rectal anastomotic strictures using transurethral prostate resection instrumentation. The transurethral prostate resection instrumentation enters the rectum through the anus to incise the narrow anastomotic orifice in a 4-point radial manner under the resectoscope.
RESULTS: The surgery was successfully completed in 18 patients, and there were no postoperative complications. Postoperatively, 12 patients achieved satisfactory improvement in defecation after 1 incision, and 4 patients underwent another incision 3 months later. Two patients underwent incisions thrice, and the ease of defecation improved in a short period; however, they later underwent permanent colostomy due to repeated stenosis and pain.
CONCLUSIONS: The transanal 4-point radial incision of the prostate using transurethral prostate resection instrumentation is a minimally invasive, safe, effective, and simple surgical method for the treatment of rectal anastomotic stenosis supplemented by postoperative dilatation, and is worthy of clinical application.
摘要：
背景：吻合口狭窄是结直肠吻合手术的常见并发症。探讨经尿道前列腺电切术治疗直肠吻合口狭窄的微创新方法。
方法：2012～2022年，18例患者采用经尿道前列腺电切术治疗直肠吻合口狭窄。经尿道前列腺切除术器械通过肛门进入直肠，在切除镜下以4点放射状方式切开狭窄的吻合口。
结果：18例患者手术顺利完成，术后无并发症。术后,12例患者经1次切口排便效果满意,4例患者3个月后再次行切口。两个病人做了三次切口,排便的便利性在短时间内有所改善；然而，由于反复的狭窄和疼痛，他们后来接受了永久性结肠造口术。
结论：使用经尿道前列腺切除术器械经肛门4点放射状切开前列腺是一种微创，安全,有效,和简单的手术方法治疗直肠吻合口狭窄辅以术后扩张，值得临床推广应用。
方法：2012～2022年，18例患者采用经尿道前列腺电切术治疗直肠吻合口狭窄。经尿道前列腺切除术器械通过肛门进入直肠，在切除镜下以4点放射状方式切开狭窄的吻合口。
结果：18例患者手术顺利完成，术后无并发症。术后,12例患者经1次切口排便效果满意,4例患者3个月后再次行切口。两个病人做了三次切口,排便的便利性在短时间内有所改善；然而，由于反复的狭窄和疼痛，他们后来接受了永久性结肠造口术。
结论：使用经尿道前列腺切除术器械经肛门4点放射状切开前列腺是一种微创，安全,有效,和简单的手术方法治疗直肠吻合口狭窄辅以术后扩张，值得临床推广应用。
