[Evaluation of a 20 years' experience of colo-anal anastomoses. Indications, results and pitfalls].
Seventy nine anastomoses were performed over a 20 year period. Indications included 68 rectal adenocarcinomas and 11 benign lesions. There was no operative mortality. Anastomotic leak was the main cause of morbidity: 12 clinical (15%) and 4 radiological leaks. The 5-year actuarial disease-free survival was 70%, 7 local recurrences (10%) were observed; 6 were Dukes C and 1 Dukes B. Functional results were assessed in 61 patients. They were considered to be excellent in 35 (57%), good in 24 (39%) and bad in 2 (4%). Six failures were noted: 3 technical, 1 oncologic and 2 functional. Pitfalls of coloanal anastomosis are discussed.
Hautefeuille
P
P
Service de Chirurgie Viscérale, Hôpital Lariboisière, Paris.
Saab
M
M
Valleur
P
P
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies
Bilan d'une expérience de vingt ans d'anastomoses colo-anales. Indications, résultats et pièges.