[A case of intractable fistula after low anterior resection repaired by transsacral direct suture].
We report a case of an intractable fistula repaired by transsacral direct suture. A 65-year-old man underwent low anterior resection for rectal cancer. He subsequently underwent ileostomy due to anastomosis leakage. The fistula of the anastomosis persisted 3 months after surgery. He underwent surgery to repair the fistula using a transsacral approach. After removing the coccyx, the fistula in the postrectal space was exposed directly. The presence of the fistula was confirmed by an air leak test and was closed by direct suture. After 33 days, the patient underwent ileostomy closure.
Division of Surgery, Kanagawa Prefectural Ashigarakami Hospital.
Takanobu
T
Yamada
Takashi
T
Kodato
Junya
J
Shirai
Mariko
M
Kamiya
Ken
K
Sujishi
Yuta
Y
Kumazu
Nobuhiro
N
Sugano
Shinsuke
S
Hatori
Tomohiko
T
Osaragi
Katsuya
K
Yoneyama
Akio
A
Kasahara
Yasushi
Y
Rino
Munetaka
M
Masuda
Yuji
Y
Yamamoto
D000368:Aged; D057868:Anastomotic Leak / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome