フクナガ　ユタカ   Yutaka Fukunaga
  福永　豊
   所属   川崎医科大学  医学部 臨床医学　形成外科学
   職種   講師
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Surgical outcome for colorectal or urinary tract-related fistula: Usefulness of vascularized tissue transfer-a retrospective study⁎.
掲載誌名 正式名：Journal of plastic, reconstructive & aesthetic surgery : JPRAS
略　 称：J Plast Reconstr Aesthet Surg
ISSNコード：18780539/17486815
掲載区分国外
巻・号・頁 74(5),pp.1041-1049
著者・共著者 Takuya Higashino, Minoru Sakuraba, Yutaka Fukunaga, Azusa Oshima, Hitoshi Masuda, Masaaki Ito
発行年月 2021/05
概要 BACKGROUND:It is challenging to manage colorectal or urinary tract-related fistula. We typically treat colorectal or urinary tract-related fistula with a vascularized tissue transfer. This study aimed to analyze the outcomes of our surgical treatments for colorectal or urinary tract-related fistula.METHODS:This retrospective review included all patients who underwent surgical repair of a colorectal or urinary tract-related fistula at our institution from October 2004 to September 2019. Patients whose surgical outcomes could not be evaluated were excluded. The primary outcome was the overall cure rate. We also evaluated the complication rate and compared the outcomes for rectovaginal fistula with those for urorectal fistula.RESULTS:The final analysis included 38 cases, of which 17 were rectovaginal fistula and 16 were urorectal fistula. The transperineal approach was used in 28 cases and transperineal and transabdominal combined in nine cases. A gracilis muscle flap was used in 19 cases and a gluteal fold flap in 13 cases. Although a major leak occurred in nine cases, the fistula was finally cured successfully in 31 cases. A comparison of the outcomes for rectovaginal fistula and urorectal fistula showed that complications occurred in 5/17 cases of rectovaginal fistula and 10/16 cases of urorectal fistula (p = 0.056). Fistulae were cured successfully in 13/17 cases of rectovaginal fistula and 14/16 cases of urorectal fistula (p = 0.656).CONCLUSION:Our surgical treatment for colorectal or urinary tract-related fistula succeeded in 31 of 38 cases. Thus, vascularized tissue transfer is useful for refractory colorectal or urinary tract-related fistula.
DOI 10.1016/j.bjps.2020.10.046
PMID 33218961