Colon perforation caused by transanal decompression tube after laparoscopic low anterior resection: A case report

Hiraki, Masatsugu; Tanaka, Toshiya; Okuyama, Keiichiro; Kubo, Hiroshi; Ikeda, Osamu; Kono, Kenji

doi:10.1016/j.ijscr.2021.02.026

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…Additionally, Hiraki et al reported perforation of the anterior wall of the proximal colon due to TDT placement. These authors demonstrated that looseness of the remaining oral intestinal tract depressed in the pelvis might compress the colon by the TDT 4 . Thus, looseness of the remaining oral intestinal tract can cause instability of the tip of the TDT and perforation.…”

Section: Discussionmentioning

confidence: 99%

“…These authors demonstrated that looseness of the remaining oral intestinal tract depressed in the pelvis might compress the colon by the TDT. 4 Thus, looseness of the remaining oral intestinal tract can cause instability of the tip of the TDT and perforation. Although this is a hypothesis, the correct position of the tip of the TDT may pass over the promontorium and place the tube as proximal as possible.…”

Section: Discussionmentioning

confidence: 99%

“…2 Although only a few studies have reported complications due to TDT placement, some studies have reported colon perforation due to TDT. [2][3][4] Additionally, to our knowledge, only one study reported colon perforation due to TDT after laparoscopic surgery. 4 Herein, we describe a case of postoperative colon perforation due to TDT placed during laparoscopic LAR.…”

Section: Introductionmentioning

confidence: 90%

“…[2][3][4] Additionally, to our knowledge, only one study reported colon perforation due to TDT after laparoscopic surgery. 4 Herein, we describe a case of postoperative colon perforation due to TDT placed during laparoscopic LAR.…”

Section: Introductionmentioning

confidence: 90%

“…Recently, transanal decompression tube (TDT) placement during surgery has been reported to reduce the rate of AL 2 . Although only a few studies have reported complications due to TDT placement, some studies have reported colon perforation due to TDT 2–4 . Additionally, to our knowledge, only one study reported colon perforation due to TDT after laparoscopic surgery 4 .…”

Section: Introductionmentioning

confidence: 96%

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Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report

Sato

Kasajima

Imaizumi

et al. 2022

Asian J Endoscop Surgery

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A 66-year-old man underwent laparoscopic low anterior resection for rectal cancer. A transanal decompression tube (24Fr Nelaton catheter) was placed laparoscopically during the surgery. Contrast enema on postoperative day 5 showed perforation of the sigmoid colon around the tip of the tube, and emergency laparotomy was performed. Perforation of the posterior sigmoid colon located on the proximal side of the colorectal anastomosis at the level of the promontorium was identified. Closure of the perforation site, lavage drainage, and a diverting loop ileostomy were performed. Although a transanal decompression tube is useful in preventing anastomotic leakage, tube-related colon perforation should be noted, and controversies about the safety of laparoscopically transanal decompression tube placement should be resolved. Adequate management for tube placement should be discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%