[Colonic pouch versus direct colo-anal anastomosis in the reconstruction after total resection of the mesorectum: review of the literature].
Good results in terms of control of the disease and 5 years survival have encouraged the use of the sphincter-saving technique for the treatment of cancers of the lower rectum. However, after this operation a percentage of patients complains of functional abnormalities such as increased bowel frequency and modification of continence especially within 12-18 months after surgery. This review analyzes the results of coloanal anastomosis following rectal excision trying to evaluate if the construction of a colonic pouch allows to limit or to prevent the functional anorectal abnormalities that usually follow a straight colo-anal anastomosis.
Navarra
G
G
Dipartimento di Scienze Chirurgiche, Anestesiologiche e Radiologiche Sezione di Clinica Chirurgica, Università degli Studi di Ferrara.
Carcoforo
P
P
Turini
A
A
Ascanelli
S
S
Tonini
G
G
Pozza
E
E
D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D006801:Humans; D016737:Proctocolectomy, Restorative