title: [Preliminary efficacy of video-assisted anal fistula treatment for complex anal fistula].
abstract: OBJECTIVE
  To evaluate the preliminary efficacy of video-assisted anal fistula treatment (VAAFT) for complex anal fistula.
  
  
  METHODS
  Clinical data of 11 consecutive patients with complex anal fistula undergoing VAAFT in our department from May to July 2015 were reviewed. VAAFT was performed to manage the fistula under endoscope without cutting or resection.
  
  
  RESULTS
  VAAFT was successfully performed in all the 11 patients. The internal ostium was closed using mattress suture in 10 cases, and Endo-GIA stapler in 1 case. The mean operative time was (42.0±12.4) min, mean hospital stay was (4.1±1.5) d. Complication included bleeding and perianal infection in 1 case respectively. After 1 to 3.2 months follow-up, success rate was 72.7%(8/11), and no fecal incontinence was observed.
  
  
  CONCLUSIONS
  Video-assisted anal fistula treatment is an effective, safe and minimally invasive surgical procedure for complex anal fistula with preservation of anal sphincter function.
authors.affiliation: Department of General Surgery, Tongji University Yangpu Hospital, Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China. lmbin@hotmail.com.
authors.forename: Hailong
authors.initials: H
authors.lastname: Liu
authors.forename: Yihua
authors.initials: Y
authors.lastname: Xiao
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhang
authors.forename: Zhihui
authors.initials: Z
authors.lastname: Pan
authors.forename: Jian
authors.initials: J
authors.lastname: Peng
authors.forename: Wenxian
authors.initials: W
authors.lastname: Tang
authors.forename: Ajian
authors.initials: A
authors.lastname: Li
authors.forename: Lulu
authors.initials: L
authors.lastname: Zhou
authors.forename: Lu
authors.initials: L
authors.lastname: Yin
authors.forename: Moubin
authors.initials: M
authors.lastname: Lin
mesh_terms: D005242:Fecal Incontinence; D006801:Humans; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures; D061646:Operative Time; D012003:Rectal Fistula; D013537:Sutures