Synchronous abdominotrans-sphincteric resection of low rectal cancer: New technique for direct colo-anal anastomosis

Author:

Lazorthes F1,Fages P1,Chiotasso P1,Bugat R1

Affiliation:

1. Service de Chirurgie Digestive, Hǒpital Purpan, Toulouse 31, France

Abstract

Abstract Sixty-five patients with low rectal cancer 4–9 cm from the anal margin were treated by rectal resection and direct colo-anal anastomosis. The procedure simultaneously combined abdominal dissection with the patient in the lateral position with a trans-sphincteric approach. In 57 cases a temporary defunctioning colostomy was performed. There were no postoperative deaths. Six patients (9 per cent) developed pelvic sepsis or anastomotic leakage. Faecal continence was normal in 46 of 51 patients (91 per cent) who were operated on at least 1 year previously. The remaining 5 complained of occasional minor soiling. No patients require a permanent colostomy for incontinence. Of 29 patients treated for potential cure > 3 years previously, 24 (82 per cent) were alive without recurrence. Local recurrence occurred in four patients (6 per cent). Direct colo-anal anastomosis using a combined abdominotrans-sphincteric approach has produced good functional results without impairing the patient's life expectancy.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

Cited by 47 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Reoperative surgery for the failed low pelvic anastomosis;Seminars in Colon and Rectal Surgery;2015-12

2. Reconstructing the Irradiated Rectum;Reconstructive Surgery of the Rectum, Anus and Perineum;2012-12-14

3. Intersphincteric resection for low rectal cancer;Hellenic Journal of Surgery;2011-04

4. Respuesta del autor;Cirugía Española;2010-11

5. Evaluation of selective defunctioning stoma after low anterior resection for rectal cancer;International Journal of Colorectal Disease;2007-09-02

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