No Coil® Placement in Patients Undergoing Left Hemicolectomy and Low Anterior Resection for Colorectal Cancer

Abstract Background. Colorectal cancer (CRC) is the most common tumor of the gastrointestinal tract. Anastomotic leak (AL) and prolonged post-operative ileus (PPOI) are two important complications of colorectal surgery. In this observational retrospective study, we evaluated the positive effects of transanal tube No Coil® in patients with CRC undergoing low anterior resection (LAR) and left hemicolectomy (LC).Methods. Thirty-eight cases and forty controls resulted eligible for the final sample. No Coil® placement (SapiMed Spa, Alessandria, Italy) was considered an inclusion criteria for the case group No Coil® was placed immediately after the end of surgical treatment.Results. PPOI was significantly more frequent in the control group. AL was evident in 1 patient (2.6%) of cases and 3 patients of control group (7.5%). No statistical difference was found in AL occurrence between groups. POI days and AL resulted associated with hospital stay. POI days were negatively associated with No Coil placement, and positively with AL.Conclusion. With our preliminary data, we suggest that No Coil® placement can be considered as a valuable procedure assisting colorectal surgery, but further studies are required to confirm and enlarge actual evidence.