Functional and Oncologic Results after Coloanal Anastomosis for Low Rectal Carcinoma

Laparoscopic Coloanal Anastomosis for Low Rectal Cancer

OBJECTIVES Low anterior resection with hand-sutured coloanal anastomosis for low rectal cancer is technically feasible, and it does not compromise oncologic results. We describe herein the effectiveness of the operation in treating low rectal cancer by a laparoscopic approach followed by intraanal canal dissection. METHODS From February 1999 to October 1999, we used a laparoscopic procedure t...

Intersphincteric Resection versus Stapled Coloanal Anastomosis for Low Rectal Cancer

Received December 10, 2007, Accepted March 3, 2008 Correspondence to: Bong Hwa Lee, Department of Surgery, Hallym University College of Medicine, 896 Pyoungchon-dong, Anyang, Kyoungki 431-070, Korea Tel: +82-31-380-1500, Fax: +82-31-380-4118 E-mail: [email protected] Purpose: Local control and functional results of an intersphincteric resection are controversial in Asian, low BMI patients, ev...

Oncological and functional outcome of intersphincteric resection and coloanal anastomosis for very low rectal cancer

Functional results after TME: J-pouch vs straight coloanal anastomosis and role of neoadjuvant radiochemotherapy.

AIM Purpose of this study was to evaluate short and long term functional outcomes after TME (total mesorectal excision) for rectal cancer. The role of straight anastomosis or colonic J-pouch reconstruction is investigated, as well as the impact of preoperative chemoradiotherapy is analyzed as a cause of the so called "anterior resection syndrome". METHODS We enrolled 40 patients (17 male and ...

Long-term functional results after straight or colonic J-pouch coloanal anastomosis.

Proctectomy followed by straight coloanal anastomosis (CAA) often results in poor functional outcome known as the anterior resection syndrome. It is now based on evidence that a colonic J-pouch CAA improves outcome in the first 2 years. We assessed the very late functional outcome of CAA patients with or without a pouch. These results show that the functional benefit of the J-pouch anastomoses ...