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Lim DR, Hur H, Min BS, et al. Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis. Ann Coloproctol. 2015;31(4):157-62doi: 10.3393/ac.2015.31.4.157.
Lim, D. R., Hur, H., Min, B. S., Baik, S. H., & Kim, N. K. (2015). Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis. Annals of coloproctology, 31(4), 157-62. https://doi.org/10.3393/ac.2015.31.4.157
Lim, Dae Ro, et al. "Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis." Annals of coloproctology vol. 31,4 (2015): 157-62. doi: https://doi.org/10.3393/ac.2015.31.4.157
Lim DR, Hur H, Min BS, Baik SH, Kim NK. Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis. Ann Coloproctol. 2015 Aug;31(4):157-62. doi: 10.3393/ac.2015.31.4.157. Epub 2015 Aug 31. PMID: 26361618; PMCID: PMC4564668.
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Ann Coloproctol. 2015 Aug;31(4):157-62. doi: 10.3393/ac.2015.31.4.157. Epub 2015 Aug 31.

Colon Stricture After Ischemia Following a Robot-Assisted Ultra-Low Anterior Resection With Coloanal Anastomosis.

Annals of coloproctology

Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim

Affiliations

  1. Section of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

PMID: 26361618 PMCID: PMC4564668 DOI: 10.3393/ac.2015.31.4.157

Abstract

Four consecutive cases of a colonic stricture following a da Vinci robot-assisted ultra-low anterior resection (LAR) with coloanal anastomosis and diverting ileostomy for the treatment of rectal cancer are reported. The colonic strictures developed after early proximal colonic ischemia without anastomotic site leakage or disruption. All patients were treated with preoperative chemoradiation therapy. During the postoperative recovery period, patients developed colonic ischemia, presenting with a high, spiking fever, but without any symptoms of peritonitis. Patients were treated with conservative management (antibiotic therapy) and discharged after two weeks when in good condition. Several months after discharge, all four patients developed a long-segment colonic stricture from the anastomosis site to the distal colon. Management of the colon strictures, including the anastomotic site, involved colonic dilation with a Hegar dilator in an outpatient clinic for several months. The ileostomies in three patients could not be closed.

Keywords: Coloanal anastomosis surgery; Colonic ischemia; Colonic stricture

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