Two-step pull-through colo-anal anastomosis aiming to avoid stoma in rectal cancer surgery: A "real life" study in a developing country.

Journal of Visceral Surgery
M A MajbarA Souadka

Abstract

Delayed colo-anal anastomosis (DCA) is an underused technique rarely performed after resection of primary low rectal adenocarcinoma. The objective of this study was to compare the short-term outcomes of DCA and classical colo-anal anastomosis (CAA). This is a retrospective comparative study carried out at two tertiary centres in Morocco and France. It included all patients who underwent colo-anal anastomosis after complete mesorectal excision for primary rectal adenocarcinoma between January 2018 and December 2019. The main outcomes were 90-day morbidity and rates completing the surgical steps of DCA and CAA. Among 215 rectal resections, 45 patients received colo-anal anastomosis, including 19 DCA and 26 CAA. Seventeen patients in the DCA group completed the two steps compared to 16 in the CAA group (89.5% vs. 61.5%, P=0.04). The rates of severe complications (26.9% vs. 26.3%, P=0.96) and anastomotic leakage (42.3% vs. 31.6%, P=0.46) were not different between the two groups. This study showed that DCA was associated with a higher rate of completing the two surgical steps, with no difference in overall and severe morbidity. DCA may be a strong alternative to classical colo-anal anastomosis.

References

Oct 1, 1978·The British Journal of Surgery·W O KirwanF L Weakley
Dec 29, 2000·Journal of the American College of Surgeons·E OlagneC Ducerf
Sep 1, 1961·Diseases of the Colon and Rectum·D E CUTAIT, F J FIGLIOLINI
Aug 4, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J CottamA Blackman
Sep 25, 2007·International Journal of Epidemiology·Shah Ebrahim, Mike Clarke
Feb 18, 2009·International Journal of Colorectal Disease·Andre ChowSanjay Purkayastha
Feb 20, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G G DavidC R Selvasekar
Apr 10, 2009·The British Journal of Surgery·W S TanK W Eu
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
Dec 26, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Brian S BuckleyMarc Paul J Lopez
Sep 24, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·H FloodeenP Matthiessen
Mar 13, 2014·Techniques in Coloproctology·J HalletA Bouchard
Feb 15, 2015·Techniques in Coloproctology·F BiancoG M Romano
Nov 2, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Z LakkisUNKNOWN French Research Group of Rectal Cancer Surgery (GRECCAR) and the French National Society of Coloproctology (SNFCP)
Jun 15, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K HolmgrenM Rutegård
Jan 10, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Elisabeth HainYves Panis
Dec 14, 2018·European Surgery : ACA : Acta Chirurgica Austriaca·M BolligerP Riss
Apr 11, 2019·ANZ Journal of Surgery·Hortense BoullenoisYann Parc
Jan 25, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H BoullenoisY Parc
May 29, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M-O FrançoisQ Denost
Jun 4, 2020·JAMA Surgery·Sebastiano BiondoUNKNOWN TURNBULL-BCN Study Group
Jun 4, 2020·JAMA Surgery·Jose G GuillemFehza Remzi

❮ 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.