PMID- 26704001
OWN - NLM
STAT- MEDLINE
DCOM- 20160504
LR  - 20181202
IS  - 1671-0274 (Print)
IS  - 1671-0274 (Linking)
VI  - 18
IP  - 12
DP  - 2015 Dec
TI  - [Clinical observation of the ligation of intersphincteric fistula tract in the 
      treatment of simple anal fistula].
PG  - 1211-4
AB  - OBJECTIVE: To investigate the clinical efficacy of ligation of intersphincteric 
      fistula tract (LIFT) in the treatment of simple anal fistula, including 
      transphincteric anal fistula and insphincteric anal fistula. METHODS: Clinical 
      data of 52 patients with anal fistula receiving surgery treatment in Beijing 
      Anorectal Hospital from January to October 2014 were analyzed retrospectively. 
      Adoption of surgical procedure was based on rectal endoluminal ultrasound and 
      patients' decision. Patients were divided into LIFT group and seton group. The 
      two groups were compared in terms of operation time, blood loss, postoperative 
      pain score, incidence of urinary retention, wound healing time, cure rate, 
      recurrence, and the anal incontinence score. RESULTS: There were 52 patients in 
      the entire cohort including 28 cases of transphincteric anal fistula (14 cases of 
      LIFT and seton placement groups) and 24 cases of intersphincteric anal fistula 
      (12 case of LIFT and seton placement). The operation time was shorter in seton 
      placement group in patients with two simple anal fistula [(23.9+/-5.0) min vs. 
      (46.3+/-7.7) min, P<0.05]. LIFT postoperative pain score [(1.6+/-0.6) vs. (6.1+/-1.3)], 
      wound healing time [(7.9+/-2.0) days vs. (30.0+/-5.1) days], postoperative hospital 
      stay [(10.3+/-3.1) days vs. (20.7+/-7.1) days], and anal incontinence scores 
      [(1.1+/-0.4) vs. (4.9+/-1.1)] were better than that of anal fistula seton (all 
      P<0.05). There was no statistically significant difference in intraoperatie blood 
      loss [(23.1+/-4.7) ml vs. (23.3+/-4.7) ml, P>0.05]. The cure rate of intersphincteric 
      anal fistula was 83.3%(10/12) in LIFT group, and 100%(12/12) in the seton group. 
      The cure rate of transphincteric anal fistula was 78.6% (11/14) in LIFT and 
      92.9%(13/14) in anal fistula seton group. There was no statistically significant 
      difference (P>0.05). CONCLUSION: In the treatment of transphincteric fistula 
      tract and intersphincteric fistula tract, LIFT procedures should be considered.
FAU - Tian, Ying
AU  - Tian Y
AD  - Department of General Surgery, Beijing Friendship Hospital, Capital Medical 
      University, Beijing 100050, China. zhangzht@medmail.com.cn.
FAU - Zhang, Zhongtao
AU  - Zhang Z
FAU - An, Shaoxiong
AU  - An S
FAU - Jia, Shan
AU  - Jia S
FAU - Liu, Liancheng
AU  - Liu L
FAU - Yu, Hongshun
AU  - Yu H
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Wei Chang Wai Ke Za Zhi
JT  - Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
JID - 101177990
SB  - IM
MH  - Digestive System Surgical Procedures
MH  - Fecal Incontinence
MH  - Humans
MH  - Length of Stay
MH  - Ligation
MH  - Operative Time
MH  - Pain, Postoperative
MH  - Postoperative Period
MH  - *Rectal Fistula
MH  - Recurrence
MH  - Retrospective Studies
MH  - Wound Healing
EDAT- 2015/12/26 06:00
MHDA- 2016/05/05 06:00
CRDT- 2015/12/26 06:00
PHST- 2015/12/26 06:00 [entrez]
PHST- 2015/12/26 06:00 [pubmed]
PHST- 2016/05/05 06:00 [medline]
AID - 100001882012 [pii]
PST - ppublish
SO  - Zhonghua Wei Chang Wai Ke Za Zhi. 2015 Dec;18(12):1211-4.