ZHANG Yuru , HUANG Bin , LIU Liancheng , REN Chuncheng , WANG Min , ZHAO Tuanjie , ZHANG Zhiliang , HAN Xu
  • Department of Anus & Intestine Surgery, Beijing Hospital of Coloproctology, Beijing Erlonglu Hospital, Beijing 100011, P. R. China;
ZHANG Yuru, Email: zhyr_11@163.com
anal fistula; video-assisted anal fistula treatment; effect; minimally invasive; review
10.7507/1007-9424.201702096
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Objective  To summarize the research progression of video-assisted anal fistula treatment (VAAFT). Methods  The related literatures in recent years were reviewed, and then the operation principle, operation process, advantages and disadvantages, matters needing attention, and clinical application of VAAFT were summarized. Results  VAAFT is the treatment of fistulas by endoscopy. It don’t require the incision or resection of the fistula. It has the advantages of less surgical trauma, faster postoperative recovery, and less impact on the anal sphincter. The disadvantage of this method is relatively strict indications, fistula bending or horseshoe fistula is not suitable for this method. In addition, the endoscope using during the operation is a rigid mirror tube, and the operation is not convenient enough, so technical improvement is needed in the future. We should pay attention to distinguish true fistula and false fistula in clinical practice; the wall of the fistula should be adequately burned and the necrotic tissue should be cleaned; the treatment of the internal opening of anal fistula must be exact; the time of the first defecation should be appropriately delayed, and the incidence of infection should be reduced after operation. At present, the clinical reports of VAAFT are increasing gradually in foreign countries, and these reports have achieved good therapeutic effect. It is considered that this method maybe a safe and effective minimally invasive surgical treatment for anal fistula. However, there is few clinical reports on VAAFT in China, and it is still in the preliminary stage of exploration. Conclusion  VAAFT is a new technology in the treatment of anal fistula, and it has advantages of minimally invasive, sphincter preservation, and so on, which is worthy of clinical application.

Citation： ZHANG Yuru, HUANG Bin, LIU Liancheng, REN Chuncheng, WANG Min, ZHAO Tuanjie, ZHANG Zhiliang, HAN Xu. Research progress of video-assisted anal fistula treatment for anal fistula. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(12): 1536-1540. doi: 10.7507/1007-9424.201702096 Copy

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