Colonic pouch vs. side-to-end anastomosis in low anterior resection

Abstract

Both forms of reconstruction have similar satisfactory long-term functional results. The major advantage of colonic pouch was seen in the immediate postoperative phase.

Side-to-end vs. Colonic Pouch vs. End-to-end Anastomosis in Low Anterior Resection

“…Furthermore, the sigmoid colon is an established area of high pressure and this may contribute to the perceived poor function. The descending colon may therefore be a preferable site for reconstruction 13,14) We conclude that the STE anastomosis results in comparable functional outcomes to a colonic J-pouch and superior outcomes to the ETE anastomosis in the immediate postoperative period.…”

“…A new method of reconstruction called coloplasty seems to produce superior functional outcomes compared with straight anastomosis loll) A second alternative to the J-pouch after low anterior resection is a simple side-to-end (STE) anastomosis 12,13) The present study compared the functional and surgical outcomes of an STE anastomosis, a colonic J-pouch (CJP) reconstruction, and end-to-end anastomosis (ETE) Each patient underwent laboratory studies of anal sphincter function before and at 3, 6, and 12 months after the surgery. When a diverting stoma was fashioned in the primary operation, the laboratory studies were performed at 3, 6, and 12 months after closure of the stoma.…”

Reconstructive Surgery as a Rehabilitation in Combined Treatment Scheme for Patients With Rectal Cancer (Case Report)

“…Это основные типы толстокишечных резервуаров, применя-емые сегодня. Все они достоверно улучшают функциональ-ное состояние больных в послеоперационном периоде и по своей эффективности примерно сопоставимы [13,14,15]. В данной статье представлено клиническое наблюдение формирования поперечного толстокишечного резерву-ара у больной раком нижнеампулярного отдела прямой кишки после неоадъювантной химиолучевой терапии и последующей резекции прямой кишки с тотальной ме-зоректумэктомией.…”

Causes and Prevention of Functional Disturbances Following Low Anterior Resection for Rectal Cancer

“…Building on successful experience with the ileoanal pouch in familial adenomatous polyposis and ulcerative colitis following proctocolectomy, the colonic J pouch was introduced by Lazorthes and Parc (26,125) The clinical results and manometric data have been compared with straight colorectal and coloanal anastomosis in controlled studies, including numerous randomized trials (29,33,41,54,56,63,88,100,122,123,143,146). According to a meta-analysis (49), the CJP has unique advantages compared with straight coloanal anastomosis: Bowel movement was significantly less up to 2 years after surgery, significantly fewer patients suffered from an imperative urge to defecate up to one year post-operatively and significantly fewer patients had to take antidiarrheals.…”