Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids
Abstract Background Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injection has been widely used, there are no previous reports of rectal cancer...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2019-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0715-5 |
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| author | Yoshiro Itatani Tomoaki Okada Kenji Kawada Koya Hida Nobu Oshima Susumu Inamoto Rei Mizuno Yoshihisa Okuchi Yoshiharu Sakai |
| author_facet | Yoshiro Itatani Tomoaki Okada Kenji Kawada Koya Hida Nobu Oshima Susumu Inamoto Rei Mizuno Yoshihisa Okuchi Yoshiharu Sakai |
| author_sort | Yoshiro Itatani |
| collection | DOAJ |
| description | Abstract Background Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injection has been widely used, there are no previous reports of rectal cancer patients who underwent robot-assisted low anterior resection (Rob-LAR) after ALTA injection to treat internal hemorrhoids. Case presentation A 70-year-old man with rectal cancer was presented to our hospital. He had an ALTA injection 2 months before presentation at a clinic due to hematochezia with internal hemorrhoids. The rectal tumor was located 7 cm above the anal verge, and Rob-LAR with the da Vinci Xi system was performed. The patient had sclerosis on the stump of the anal side, which made it difficult to transect the rectum with linear staplers. This required multiple repeats of compression through the SmartClamp feedback. After anastomosis with the double-stapling technique, we constructed a diverting ileostomy. Conclusion Although ALTA injection is a promising strategy for internal hemorrhoids, rectal cancer should be excluded before the sclerosing therapy. |
| format | Article |
| id | doaj-art-70cd9f91f8e94e6295eb7fec054b6ce9 |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-70cd9f91f8e94e6295eb7fec054b6ce92025-08-02T10:48:47ZengJapan Surgical SocietySurgical Case Reports2198-77932019-10-01511510.1186/s40792-019-0715-5Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoidsYoshiro Itatani0Tomoaki Okada1Kenji Kawada2Koya Hida3Nobu Oshima4Susumu Inamoto5Rei Mizuno6Yoshihisa Okuchi7Yoshiharu Sakai8Department of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Surgery, Graduate School of Medicine, Kyoto UniversityAbstract Background Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injection has been widely used, there are no previous reports of rectal cancer patients who underwent robot-assisted low anterior resection (Rob-LAR) after ALTA injection to treat internal hemorrhoids. Case presentation A 70-year-old man with rectal cancer was presented to our hospital. He had an ALTA injection 2 months before presentation at a clinic due to hematochezia with internal hemorrhoids. The rectal tumor was located 7 cm above the anal verge, and Rob-LAR with the da Vinci Xi system was performed. The patient had sclerosis on the stump of the anal side, which made it difficult to transect the rectum with linear staplers. This required multiple repeats of compression through the SmartClamp feedback. After anastomosis with the double-stapling technique, we constructed a diverting ileostomy. Conclusion Although ALTA injection is a promising strategy for internal hemorrhoids, rectal cancer should be excluded before the sclerosing therapy.http://link.springer.com/article/10.1186/s40792-019-0715-5Robot-assisted surgeryInternal hemorrhoidRectal cancerALTALow anterior resectionDouble-stapling technique |
| spellingShingle | Yoshiro Itatani Tomoaki Okada Kenji Kawada Koya Hida Nobu Oshima Susumu Inamoto Rei Mizuno Yoshihisa Okuchi Yoshiharu Sakai Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids Surgical Case Reports Robot-assisted surgery Internal hemorrhoid Rectal cancer ALTA Low anterior resection Double-stapling technique |
| title | Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| title_full | Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| title_fullStr | Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| title_full_unstemmed | Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| title_short | Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| title_sort | robot assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids |
| topic | Robot-assisted surgery Internal hemorrhoid Rectal cancer ALTA Low anterior resection Double-stapling technique |
| url | http://link.springer.com/article/10.1186/s40792-019-0715-5 |
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