A 5‐cm colonic J pouch colo‐anal reconstruction following anterior resection for low rectal cancer results in acceptable evacuation and continence in the long term

Amin, A.I.; Hallböök, Olof; Lee, Amanda Jane; Sexton, Rosemary; Moran, Brendan; Heald, R. J.

doi:10.1046/j.1463-1318.2003.00399.x

Cited by 31 publications

(20 citation statements)

References 20 publications

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“…10 An adequate external sphincter function on rectal examination and evidence of anterior rectocele and/ or rectal intussusception on dynamic defecography also were required. Presence of dysregulated pelvic floor function (anismus) diagnosed by any means was not cause for exclusion.…”

Section: Methodsmentioning

confidence: 99%

“…The primary study effectiveness variable was the total ODS score (Table 1) 10 assessed at baseline, end of treatment, or three-month adaptation phase and 3-month, 6-month, and 12-month follow-up after treatment. The primary analysis assessed the percent change from baseline to 12 months in total ODS scores, and success was defined as a change in score resulting in a 50 percent or more decrease in symptoms.…”

Section: Methodsmentioning

confidence: 99%

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Outcomes of Stapled Transanal Rectal Resection vs . Biofeedback for the Treatment of Outlet Obstruction Associated with Rectal Intussusception and Rectocele: A Multicenter, Randomized, Controlled Trial

Lehur¹,

Stuto²,

Fantoli³

et al. 2008

Diseases of the Colon &Amp; Rectum

112

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In this controlled trial, stapled transanal rectal resection was well tolerated, was more effective than biofeedback training for the resolution of obstructed defecation symptoms, and improved quality of life, with minimal risk of impaired continence. Thus, stapled transanal rectal resection offers a new treatment alternative for obstructed defecation after failure of conservative measures including biofeedback training, a noninvasive approach.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Outcomes of Stapled Transanal Rectal Resection vs . Biofeedback for the Treatment of Outlet Obstruction Associated with Rectal Intussusception and Rectocele: A Multicenter, Randomized, Controlled Trial

Lehur¹,

Stuto²,

Fantoli³

et al. 2008

Diseases of the Colon &Amp; Rectum

112

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show abstract

“…The reported morbidity rates for laparoscopic colorectal surgery vary between 6 and 39 percent. [16][17][18][19][20][21][22][23][24][25][26] The postoperative morbidity in this study was mainly due to anastomotic leakage and wound infection, which was the same as reported in open surgery. The mortality rate within 30 days after surgery, which is one of the most important factors to analyze the safety of laparoscopic surgery, was not experienced in this study.…”

Section: Discussionmentioning

confidence: 96%

Clinical Outcome of Intersphincteric Resection for Ultra-Low Rectal Cancer

Tonev¹

2012

JofIMAB

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BACKGROUND: Laparoscopic surgery has been reported to be one of the approaches for total mesorectal excision (TME) in rectal cancer surgery. Intersphincteric resection (ISR) has been reported as a promising method for sphincter-preserving operation in selected patients with very low rectal cancer. METHODS: We try to underline the important surgical issues surrounding the management of patients with low rectal cancer indicated to laparoscopic intersphincteric resection (ISR). From January 2007 till now, 35 patients with very low rectal cancer underwent laparoscopic TME with ISR. We report and analyze the results from them RESULTS: Conversion to open surgery was necessary in one (3%) patient. The median operation time was 293 min and median estimated blood loss was 40 ml. The pelvic plexus was completely preserved in 32 patients. There was no mortality. Postoperative complications occurred in three (9%) patients. The median length of postoperative hospital stay was 11 days. Macroscopic complete mesorectal excision was achieved in all cases. Complete resection (R0) was achieved in 21 (91%) patients.CONCLUSIONS: Laparoscopic TME with ISR is technically feasible and a safe alternative to laparotomy with favorable short-term postoperative outcomes. The literature research made by us found that the laparoscopic approach can be underwent in most patients with low rectal cancer in which laparoscopic ISR represents a feasible alternative to conventional open surgery.

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“…Em um seguimento pós-operatório médio de 30 meses ocorreu uma recidiva local (7,7%) diagnosticada em uma paciente no 16 …”

Section: Figura 3 -Posição Da Equipeunclassified

“…Essa medida confere não só um adequado reservatório como também propicia um bom esvaziamento (16)(17).…”

Section: Figura 13 -A -Demostração Da Bolsa Colônica Em J De 5 CM Baunclassified

Tratamento cirúrgico do câncer da porção distal do têrço inferior do reto pela ressecção anterior ultrabaixa e interesfinctérica com anastomose coloanal por videolaparoscopia

Ramos¹,

Mesquita²,

Valory³

et al. 2009

Rev bras. colo-proctol.

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Resumo: Objetivo: Identificar as complicações pós-operatórias, a duração da internação hospitalar, os resultados funcionais clínicos, e os resultados oncológicos num seguimento médio de 2,5 anos nos pacientes com câncer do reto distal submetidos à ressecção anterior ultrabaixa e interesfinctérica com anastomose coloanal por videolaparoscopia. Casuística e Métodos: De um total de 491 pacientes operados pelo acesso videolaparoscópico, foram selecionados para esse estudo prospectivo 13 doentes , nove do sexo feminino,com câncer da porção distal do reto inferior entre os 172 pacientes com câncer do reto.Nenhum tumor T4 ou com resposta completa à quimiorradioterapia foi selecionado. A quimiorradioterapia neo-adjuvante foi aplicada em 8 doentes. Resultados: A taxa de complicaçãos pós-operatória foi de 23,1%., sendo de 7,7% o índice de fístula anastomótica. A mortalide foi nula. A alta hospitalar ocorreu até o 7° dia de pós-operatório para 8 pacientes (61,5%), 4 dos quais no quinto dia.. O número médio de linfonodos por peça foi 13. A margem distal média foi de 1,5 cm. A margem circunferencial foi positiva em um caso (7,7%). Evacuação fracionada foi relatada por 11 pacientes (91%) e incontinência fecal por 5 pacientes (41%). Onze pacientes (84%) estão satisfeitos com a operação. Um paciente continua ileostomizado (7,7%). Em um seguimento médio de 30 meses ocorreu uma recidiva local (7,7%) e dois casos de metástase pulmonar (15,4 %). As três pacientes faleceram da doença. Dez pacientes (77%) estão sem doença. CONCLUSÕES: Apesar da pequena casuística, a analise permitiu as seguintes conclusões: a) A técnica empregada mostrou ser viável e segura, pois apresentou baixo índice de complicação pós-operatória e mortalidade nula; b) O emprego dessa técnica permitiu período de internação hospitalar pós-operatório curto; c) Apesar dos resultados funcionais com avaliação clínica regular, evitou-se a colostomia definitiva em 92,3% dos doentes; d) A utilização dessa técnica não comprometeu os resultados oncológicos num período médio de 30 meses de seguimento.Discritores: Ressecção Interesfictérica, Câncer do Reto, Laparoscopia.

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A 5‐cm colonic J pouch colo‐anal reconstruction following anterior resection for low rectal cancer results in acceptable evacuation and continence in the long term

Abstract: Gender and anastomotic height were the only variables which influenced incontinence. Ninety percent of patients reported that their bowel function did not affect their overall wellbeing, and none would have preferred to have a stoma.

Cited by 31 publications

References 20 publications

Outcomes of Stapled Transanal Rectal Resection vs . Biofeedback for the Treatment of Outlet Obstruction Associated with Rectal Intussusception and Rectocele: A Multicenter, Randomized, Controlled Trial

Outcomes of Stapled Transanal Rectal Resection vs . Biofeedback for the Treatment of Outlet Obstruction Associated with Rectal Intussusception and Rectocele: A Multicenter, Randomized, Controlled Trial

Clinical Outcome of Intersphincteric Resection for Ultra-Low Rectal Cancer

Tratamento cirúrgico do câncer da porção distal do têrço inferior do reto pela ressecção anterior ultrabaixa e interesfinctérica com anastomose coloanal por videolaparoscopia

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