Laparoscopic delayed coloanal anastomosis without diverting ileostomy for low rectal cancer surgery: 85 consecutive patients from a single institution

Techniques in Coloproctology
P-Y SageJ-L Faucheron

Abstract

Surgical treatment for low rectal cancer septic complications often requires an ileostomy for fecal diversion. Delayed coloanal anastomosis (CAA) has been performed for several years to reduce septic complications and to avoid ileostomy. The aim of this study was to report the technical, functional and oncological results of delayed CAA in patients operated on for low rectal cancer focusing on pelvic septic complications. All consecutive patients operated on for low rectal cancer suitable for total mesorectal excision and two-step delayed CAA at a single institution between May 2000 and September 2013 were included in the study. Patients' characteristics, operative and postoperative outcomes, long-term technical, functional and oncological results from a prospectively maintained database, were retrospectively analyzed. A total of 85 consecutive patients (69 men), of median age 63 years (range 42-83 years) were included. Median delay between the first and the second step of the operation was 6 days (range 2-13 days). Twenty-one patients (25%) developed pelvic sepsis, nine of them (10.6%) developed an anastomotic leak. Twenty-three patients had a definitive stoma at the end of follow-up. Seventeen patients (29%) experienced a poo...Continue Reading

References

Jan 1, 1993·Diseases of the Colon and Rectum·J M Jorge, S D Wexner
Dec 29, 2000·Journal of the American College of Surgeons·E OlagneC Ducerf
Dec 8, 2004·The British Journal of Surgery·K C M J PeetersUNKNOWN Dutch Colorectal Cancer Group
Dec 21, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M T EriksenUNKNOWN Norwegian Rectal Cancer Group
Jul 20, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David G JayneUNKNOWN UK MRC CLASICC Trial Group
Jan 30, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C A BertelsenUNKNOWN Danish Colorectal Cancer Group
Jun 30, 2009·Annals of Surgery·Christophe LaurentEric Rullier
Sep 29, 2009·Lancet·Peter McCullochJan Vandenbroucke
Apr 17, 2010·Annals of Surgery·Bogdan C PaunW Donald Buie
Dec 28, 2010·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J JarryS Evrard
Sep 4, 2012·The Journal of Surgical Research·Bodil GesslerEva Angenete
Sep 15, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A SharmaF J Fleming
May 2, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·H S SnijdersJ W T Dekker
Dec 19, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D PatsourasR K S Phillips
Mar 13, 2014·Techniques in Coloproctology·J HalletA Bouchard
Aug 8, 2015·International Journal of Colorectal Disease·Vivian Chi Mei ManDominic Chi Chung Foo
Sep 16, 2016·Annals of Surgery·Quentin DenostUNKNOWN French Research Group of Rectal Cancer Surgery (GRECCAR)

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.