Transanal tube NO COIL® after rectal cancer proctectomy. The "G. Paolo II" Cancer Centre experience

Severino Montemurro, Raffaele De Luca, Cosimo Caliandro, Eustachio Ruggieri, Antonello Rucci, Vito Sciscio, Nunzio Ranaldo, Antonio Federici

Research output: Contribution to journalArticlepeer-review

Abstract

Aims and background. Covering stoma is the main method used to protect low-lying anastomosis after cancer proctectomy. Intraluminal rectal pressure could be a potential risk factor for anastomotic leakage. We present our personal experience with an alternative and original device, the transanal tube NO COIL® , evaluating its feasibility and safety based on a preliminary manometric study. Methods. From May 1998 to March 1999, an experimental manometric study on 35 subjects was performed to assess the pathophysiological basis of intraluminal rectal pressure with or without the transanal tube. Subsequently, from April 1999 to December 2009, 184 patients (107 males, 77 females, average age 68.2 ± 10 years) with primary adenocarcinoma of the rectum (d12 cm from anal verge) were selected. Eighty-two underwent total proctectomy and 102 subtotal proctectomy. No stoma were fashioned. At the end of the operation, the silicone transanal tube NO COIL®, 60-80 mm long, 2 mm thick with a calibre of up to 2 cm, was applied and secured to the perineal skin by two stitches, then removed on the seventh postoperative day if no signs of leakage occurred. Results. The intraluminal rectal pressure with transanal tube was strongly reduced from 13.8 + 8.5 mmHg to 4.8 + 3.7 mmHg (P

Original languageEnglish
Pages (from-to)607-614
Number of pages8
JournalTumori
Volume98
Issue number5
DOIs
Publication statusPublished - Sep 2012

Keywords

  • Anastomotic leakage
  • Proctectomy
  • Transanal tube

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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