Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report
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 emer...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2022-10, Vol.15 (4), p.820-823 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Sato, Kentaro Kasajima, Hiroyuki Imaizumi, Ken Kurushima, Michihiro Umehara, Minoru Tsuruga, Yosuke Yamana, Daisuke Sato, Aya Ichimura, Kentaro Isokawa, Marina Nakanishi, Kazuaki |
| description | 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. |
| doi_str_mv | 10.1111/ases.13078 |
| format | Article |
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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.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.13078</identifier><identifier>PMID: 35584793</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Case reports ; Colorectal cancer ; perforation ; Postoperative period ; rectal cancer ; transanal decompression tube</subject><ispartof>Asian journal of endoscopic surgery, 2022-10, Vol.15 (4), p.820-823</ispartof><rights>2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><rights>2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3488-5de6e7629612521d8b78cc8c35d110307c56c713b732aa19ca18673784ca596e3</citedby><cites>FETCH-LOGICAL-c3488-5de6e7629612521d8b78cc8c35d110307c56c713b732aa19ca18673784ca596e3</cites><orcidid>0000-0002-4231-2315 ; 0000-0002-1765-7477</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.13078$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.13078$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35584793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sato, Kentaro</creatorcontrib><creatorcontrib>Kasajima, Hiroyuki</creatorcontrib><creatorcontrib>Imaizumi, Ken</creatorcontrib><creatorcontrib>Kurushima, Michihiro</creatorcontrib><creatorcontrib>Umehara, Minoru</creatorcontrib><creatorcontrib>Tsuruga, Yosuke</creatorcontrib><creatorcontrib>Yamana, Daisuke</creatorcontrib><creatorcontrib>Sato, Aya</creatorcontrib><creatorcontrib>Ichimura, Kentaro</creatorcontrib><creatorcontrib>Isokawa, Marina</creatorcontrib><creatorcontrib>Nakanishi, Kazuaki</creatorcontrib><title>Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>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.</description><subject>Case reports</subject><subject>Colorectal cancer</subject><subject>perforation</subject><subject>Postoperative period</subject><subject>rectal cancer</subject><subject>transanal decompression tube</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kF9LwzAUxYMoTqcvfgAJ-CZsJk3TpL6NMf_AQGH6XNL0Fju6JiatY5_BL21q5x7Ny705_DjccxC6omRKw7tTHvyUMiLkETqjgssJTyk5PuwkGqFz79eEJILG7BSNGOcyFik7Q9-vxrfGglNt9QVYm9o0OHxL0ythLzrArcHtRxiVxaYcVqcarxpV4wK02VgH3vd02-WAVdmCw7Wyyhmvja00rs0WqybIlXE4wKB783s8wzpcHxRrXHuBTkpVe7jczzF6f1i8zZ8my5fH5_lsOdEsliFQAQmIJEoTGvGIFjIXUmupGS8oJaEGzRMtKMsFi5SiqVZUJoIJGWvF0wTYGN0MvtaZzw58m61N50IYn0UiIhFJ45QH6nagdEjhHZSZddVGuV1GSdb3nvW9Z7-9B_h6b9nlGygO6F_RAaADsK1q2P1jlc1Wi9Vg-gNvnI97</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Sato, Kentaro</creator><creator>Kasajima, Hiroyuki</creator><creator>Imaizumi, Ken</creator><creator>Kurushima, Michihiro</creator><creator>Umehara, Minoru</creator><creator>Tsuruga, Yosuke</creator><creator>Yamana, Daisuke</creator><creator>Sato, Aya</creator><creator>Ichimura, Kentaro</creator><creator>Isokawa, Marina</creator><creator>Nakanishi, Kazuaki</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-4231-2315</orcidid><orcidid>https://orcid.org/0000-0002-1765-7477</orcidid></search><sort><creationdate>202210</creationdate><title>Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report</title><author>Sato, Kentaro ; Kasajima, Hiroyuki ; Imaizumi, Ken ; Kurushima, Michihiro ; Umehara, Minoru ; Tsuruga, Yosuke ; Yamana, Daisuke ; Sato, Aya ; Ichimura, Kentaro ; Isokawa, Marina ; Nakanishi, Kazuaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3488-5de6e7629612521d8b78cc8c35d110307c56c713b732aa19ca18673784ca596e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Case reports</topic><topic>Colorectal cancer</topic><topic>perforation</topic><topic>Postoperative period</topic><topic>rectal cancer</topic><topic>transanal decompression tube</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sato, Kentaro</creatorcontrib><creatorcontrib>Kasajima, Hiroyuki</creatorcontrib><creatorcontrib>Imaizumi, Ken</creatorcontrib><creatorcontrib>Kurushima, Michihiro</creatorcontrib><creatorcontrib>Umehara, Minoru</creatorcontrib><creatorcontrib>Tsuruga, Yosuke</creatorcontrib><creatorcontrib>Yamana, Daisuke</creatorcontrib><creatorcontrib>Sato, Aya</creatorcontrib><creatorcontrib>Ichimura, Kentaro</creatorcontrib><creatorcontrib>Isokawa, Marina</creatorcontrib><creatorcontrib>Nakanishi, Kazuaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sato, Kentaro</au><au>Kasajima, Hiroyuki</au><au>Imaizumi, Ken</au><au>Kurushima, Michihiro</au><au>Umehara, Minoru</au><au>Tsuruga, Yosuke</au><au>Yamana, Daisuke</au><au>Sato, Aya</au><au>Ichimura, Kentaro</au><au>Isokawa, Marina</au><au>Nakanishi, Kazuaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2022-10</date><risdate>2022</risdate><volume>15</volume><issue>4</issue><spage>820</spage><epage>823</epage><pages>820-823</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>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.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>35584793</pmid><doi>10.1111/ases.13078</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-4231-2315</orcidid><orcidid>https://orcid.org/0000-0002-1765-7477</orcidid></addata></record> |
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| subjects | Case reports Colorectal cancer perforation Postoperative period rectal cancer transanal decompression tube |
| title | Postoperative colon perforation due to the tip of the transanal decompression tube after laparoscopic low anterior resection: A case report |
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