Colonic pouch confers better bowel function and similar postoperative outcomes compared to straight anastomosis for low rectal cancer

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comparison of colonic j-pouch and straight coloanal anastomosis after low anterior resection

conclusions cpaa provided not only better functional results than scaa, but also improved quality of life, thus may be the better choice. background the tendency towards sphincter preserving for low rectal cancers with low anterior resection, has led to the technique of straight coloanal anastomosis (scaa) or colonic j-pouch anal anastomosis (cpaa). objectives the aim of our study was to compar...

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Techniques for restoring bowel continuity and function after rectal cancer surgery.

A very low local recurrence rate of 3%-6% (associated with improved 5 year survival) is possible when proper oncological surgery is performed of mid and distal rectal adenocarcinoma. Restoration of bowel continuity is possible in most cases, without compromise of cancer clearance. Re-anastomosis can be performed with stapled, transabdominal hand-sewn or coloanal pull-through techniques. However...

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Colonic Pouch for Rectal Cancer Surgery

Colorectal cancer is the second most common cause of cancer death for both men and women, in Singapore.1 Surgery remains the best hope for curing colorectal cancer. Provided that the cancer is early and adequately removed with clear margins, the chances of long term survival are promising. Patients with adequately resected Dukes stage A colorectal cancer have an average 5 year survival of appro...

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Comparison of Colonic J-pouch and Straight Coloanal anastomosis after Low Anterior Resection

OBJECTIVE To evaluate the effect of colonic J-pouch coloanal anastomosis after low anterior resection for mid or low rectal cancer on improving defecation and anorectal physiology. METHODS To make a meta-analysis, prospective randomized controlled trial of with or without colonic J-pouch after low anterior resection for mid or low rectal cancer was conducted. The key words included rectal can...

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Randomized comparison of straight and colonic J pouch anastomosis after low anterior resection.

OBJECTIVE The authors compared clinical bowel function and complications of a low anterior resection with either a straight or colonic J pouch anastomosis. SUMMARY BACKGROUND DATA Urgency and frequent bowel movements after rectal resection with a low anastomosis have been related to the loss of rectal reservoir function. Reconstruction with a colonic J pouch possibly can obviate some of this ...

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ژورنال

عنوان ژورنال: World Journal of Gastrointestinal Surgery

سال: 2021

ISSN: 1948-9366

DOI: 10.4240/wjgs.v13.i3.303