Surgical Resection of Anastomotic Stenosis after Rectal Cancer Surgery Using a Circular Stapler and Colostomy with Double Orifice

Figure 3

(a) A pin hole was made with a biopsy forceps at anastomotic stenosis. The biopsy forceps was passed through the stenosis. (b) Silk thread was passed as a guide tool from the stoma to the anus. (c) By pulling the silk thread tied to the suture hole of the anvil, the anvil central rod was passed through the stenosis as a bougie. (d) The instrument body was inserted transanally, and the central shaft was passed through the hole of stenosis made with the mechanical bougie. (e) Looking inside the stoma, the anvil center rod was manually attached to the central shaft under direct viewing. (f) After EEA firing, the colonoscopy showed that stenosis was resected successfully.

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