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- W3156942663 abstract "Introduction: Laparoscopic rectal cancer resection is currently the most common surgical procedure for treating colorectal cancer. The surgical technique of natural orifice specimen extraction surgery (NOSES) for colorectal cancer is becoming common but post-operative complications occur. In this article, we present a patient with rectal cancer who underwent trans-vaginal NOSES laparoscopic rectal cancer resection combined with hysterectomy and developed a recto-vaginal fistula after the surgery. Patient Concerns: The patient was a 56-year-old female with complaint of blood in the stool 7 months before without obvious cause, with aggravation in the last one month. Colonoscopy revealed a mass located 6 cm from the anus. Diagnoses: Colonoscopy findings and pathology results suggested mesenchymal ulcerative adenocarcinoma of the rectum. Interventions: Patient underwent trans-vaginal NOSES laparoscopic rectal cancer resection combined with hysterectomy. Outcome s: The patient recovered well but developed anastomotic fistula on postoperative day 11. An enterostomy was performed urgently. The patient was in stable condition at 1 month follow-up. Conclusion: NOSES has the advantage of reduced trauma, quick recovery time, and aesthetics. However, for patients with advanced tumors, especially cancers that invade adjacent organs, expanded resection will increase the risk of postoperative complications. Routine digital rectal examination after ultra-low rectal anastomosis can aid in diagnosing anastomotic leakage early in patients with obscure clinical features." @default.
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- W3156942663 date "2021-02-25" @default.
- W3156942663 modified "2023-09-24" @default.
- W3156942663 title "Recto-vaginal fistula after laparoscopic rectal cancer resection through natural orifice specimen extraction surgery and transvaginal specimen extraction combined with hysterectomy" @default.
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- W3156942663 doi "https://doi.org/10.1097/md9.0000000000000068" @default.
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