Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2024; 16(6): 1926-1932
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1926
Novel magnetic compression technique for the treatment of postoperative anastomotic stenosis in rectal cancer: A case report
Miao-Miao Zhang, Huan-Chen Sha, Hai-Rong Xue, Yuan-Fa Qin, Xiao-Gang Song, Yun Li, Yu Li, Zheng-Wu Deng, Yu-Lin Gao, Fang-Fang Dong, Yi Lyu, Xiao-Peng Yan
Miao-Miao Zhang, Huan-Chen Sha, Yuan-Fa Qin, Xiao-Gang Song, Yun Li, Yu Li, Zheng-Wu Deng, Yu-Lin Gao, Fang-Fang Dong, Yi Lyu, Xiao-Peng Yan, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Miao-Miao Zhang, Yi Lyu, Xiao-Peng Yan, Department of Shaanxi Provincial Key Laboratory of Magnetic Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Miao-Miao Zhang, Yi Lyu, Xiao-Peng Yan, Department of National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Hai-Rong Xue, Department of Gastroenterology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Co-corresponding authors: Xiao-Peng Yan and Yi Lyu.
Author contributions: Zhang MM, Sha HC, Xue HR, Qin YF, Song XG, Li Y, Li Y, Deng ZW, Gao YL, and Yan XP performed the operation and drafted this manuscript; Dong FF assisted in perioperative care; Yan XP and Lyu Y designed the operation and revised the manuscript; all authors have read and approved the final manuscript.
Supported by The Key Research and Development Program of Shaanxi Province of China, No. 2024SF-YBXM-447; The Institutional Foundation of The First Affiliated Hospital of Xi’an Jiaotong University, No. 2022MS-07; and The Fundamental Research Funds for the Central Universities, No. xzy022023068.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Peng Yan, MD, PhD, Associate Research Scientist, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. yanxiaopeng9966@163.com
Received: February 5, 2024
Revised: April 11, 2024
Accepted: April 22, 2024
Published online: June 27, 2024
Processing time: 145 Days and 18.1 Hours
Abstract
BACKGROUND

The treatment of postoperative anastomotic stenosis after excision of rectal cancer is challenging. Endoscopic balloon dilation and radial incision are not effective in all patients. We present a new endoscopy-assisted magnetic compression technique (MCT) for the treatment of rectal anastomotic stenosis. We successfully applied this MCT to a patient who developed an anastomotic stricture after radical resection of rectal cancer.

CASE SUMMARY

A 50-year-old man had undergone laparoscopic radical rectal cancer surgery at a local hospital 5 months ago. A colonoscopy performed 2 months ago indicated that the rectal anastomosis was narrow due to which ileostomy closure could not be performed. The patient came to the Magnetic Surgery Clinic of the First Affiliated Hospital of Xi'an Jiaotong University after learning that we had successfully treated patients with colorectal stenosis using MCT. We performed endoscopy-assisted magnetic compression surgery for rectal stenosis. The magnets were removed 16 d later. A follow-up colonoscopy performed after 4 months showed good anastomotic patency, following which, ileostomy closure surgery was performed.

CONCLUSION

MCT is a simple, non-invasive technique for the treatment of anastomotic stricture after radical resection of rectal cancer. The technique can be widely used in clinical settings.

Keywords: Rectal cancer; Magnetic compression technique; Magnetosurgery; Anastomotic stricture; Magnetic surgery clinic; Case report

Core Tip: Endoscopic balloon dilation and radial incision are commonly used for the treatment of postoperative anastomotic stenosis after surgery for colorectal cancer, but the effect is limited. Magnetic compression technique (MCT) can be used for anastomosis of various parts of the digestive tract. Cases of postoperative anastomotic stricture after colorectal cancer surgery treated by MCT have been rarely reported. We report a patient with low rectal anastomosis who was successfully treated with the MCT. This case report enriches the treatment methods of postoperative anastomotic stenosis of colorectal cancer, which can bring important reference significance for peers.