[Rectum resection with colo-anal anastomosis and formation of a colonic J pouch in deep rectal cancer].
Sphincter-saving operations are now generally accepted for the treatment of mid-rectal cancers. Different techniques have been described: low colorectal anastomosis with staplers, pull-through procedures and coloanal anastomosis. The functional results following these procedures are impaired by loss of the reservoir function of the rectum. To avoid frequency and urgency a J-shaped colonic reservoir is constructed and anastomosed to the anal canal. We are presenting our first four cases using this technique. All patients are personally reviewed 19-29 months after the operation. In correspondence with the literature all our patients had a good functional result with good continence and only one bowel movement per day. We conclude the creation of a neorectum makes the functional result of a coloanal anastomosis more predicable.
Klinik für Chirurgie, Kantonsspital St. Gallen.
M
M
Schibli
W W
WW
Rittmann
D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D003106:Colon / Q000601:surgery*; D005242:Fecal Incontinence / Q000517:prevention & control*; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D012004:Rectal Neoplasms / Q000601:surgery*; D013536:Suture Techniques
Rektumresektion mit koloanaler Anastomose und Bildung eines Kolon-J-Pouches beim tiefen Rektumkarzinom.