To evaluate the effect of the clinical application of debridement and compression hemostasis with an arc-shaped transperineal incision in front of the apex of coccyx during low rectal cancer anastomotic leak.

A total of 11 patients with low rectal cancer anastomotic leak, infection and bleeding were analyzed retrospectively in our hospital from 2007~2013. After beginning the symptom of anastomotic leak, infection and bleeding, the patients were treated with non-surgery. However, the symptoms of anastomotic leak, infection and bleeding show no sign of improvement.They were had to be cured with the method of debridement and compression hemostasis with an arc-shaped transperineal incision in front of the apex of coccyx.

11 patients were successfully cured by debridement and hemostasis with arc-shaped transperineal incision in front of the apex of coccyx. The median operation time was 20 min, the median blood loss was 110 ml, the median time of hemostasis by compression with cotton pad in the presacral was 5 days. 6~12 months after operation, 7 patients were treated with colostomy closure, the defecate is about 3~6 times a day within 6 months after colostomy closure. Two people which the anastomotic stenosis and thicken, needing to remove the tumor recurrence, were proposed to delay colostomy closure time. Two patients gave up colostomy closure.

It is simple and direct, safe and effective, while the anal function was preserved by debridement and hemostasis with arc-shaped transperineal incision in front of the apex of coccyx, which can be used as the preferred measures after failed conservative treatment.