COMBINED REOPERATIVE ROBOTIC LOW ANTERIOR RESECTION AND LAPAROSCOPIC TATME FOR REPAIR OF ANASTOMOTIC-VAGINAL FISTULA WITH TRANSANAL EXTRACTION AND ANASTOMOSIS
Tong Gan*, Kevin T. Behm, Sherief Shawki
Surgery, Mayo Foundation for Medical Education and Research, Rochester, MN
A 56 year old female with mid-rectal cancer was treated with total neoadjuvant therapy, robotic low anterior resection and diverting loop ileostomy. She had a pathological complete response, however her contrast enema demonstrated a rectovaginal fistula at the anastomosis. She had no evidence of recurrence. She failed a transanal suture repair and an abdominoperineal resection was recommended. She presented to our clinic for a second opinion. We proceeded with a combined reoperative robotic low anterior resection and laparoscopic TaTME with a pedicled omental flap. She was discharged on day 2, had a normal 3 month contrast enema and ileostomy reversed. She is doing well 1 year after surgery.
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