Colonic Pouch for Rectal Cancer Surgery
نویسنده
چکیده
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 approximately 90 per cent.2 Less fortunate patients eventually succumb. The cause of death in such instances, where related to the cancer is due to recurrences.
منابع مشابه
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...
متن کاملTechniques 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...
متن کاملTransverse coloplasty pouch and colonic J-pouch for rectal cancer--a comparative study.
OBJECTIVES The introduction of the colonic J-pouch has markedly improved the functional outcome of restorative rectal cancer surgery. However colonic J-pouch surgery can be problematic and may present some late evacuatory problems. To overcome these limitations a novel pouch has been proposed: the transverse coloplasty pouch. The purpose of our study was to compare the functional outcomes of th...
متن کاملRandomized 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 ...
متن کاملMeta-analysis of reconstruction techniques after low anterior resection for rectal cancer.
BACKGROUND Options for reconstruction after low anterior resection (LAR) for rectal cancer include straight or side-to-end coloanal anastomosis (CAA), colonic J pouch and transverse coloplasty. This systematic review compared these techniques in terms of function, surgical outcomes and quality of life. METHODS A systematic literature search (MEDLINE, Embase and the Cochrane Library, from ince...
متن کاملStraight and colonic J-pouch reconstruction after low anterior resection.
PURPOSE A complication after restorative rectal surgery with a straight anastomosis is low-anterior resection syndrome with a postoperatively deteriorated anorectal function. The colonic J-reservoir is sometimes used with the purpose of reducing these symptoms. An alternative method is to use a simple side-to-end anastomosis or a coloplasty. MATERIAL AND METHODS Three-hundred fiftyseven patie...
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