Anal fistula is a common anorectal surgical disease,mostly caused by anal gland infection.Surgical interven-tion is currently the mainstream treatment for anal fistula,but balancing the protection of anal sphincter function and improving the cure rate remains a challenge in the development of anal fistula surgery.Transanal opening of the inter-sphincteric space(TROPIS)is one of the sphincter-preserving surgical procedures for the treatment of anal fistula.It fully protects the function of the anal sphincter with few complications,making it a minimally invasive surgical approach for the treatment of anal fistula that has received widespread attention.This article summarizes the relevant literature on the treatment of anal fistula with TROPIS in recent years.Based on the pathogenesis of anal fistula and the theoreti-cal foundation of TROPIS,it comprehensively elaborates the research and clinical progress of TROPIS in the treatment of anal fistula in recent years,thereby further promoting the optimization and development of TROPIS.
关键词
肛瘘/经肛括约肌间切开术/保留括约肌术式
Key words
anal fistula/transanal opening of intersphincteric space/sphincter-preserving surgical procedure