Total mesorectal excision and low/ultra-low colo-rectal(anal) anastomoses with sustaining bonding method in the treatment of lower rectal cancer / 中国普通外科杂志
Chinese Journal of General Surgery
; (12)2001.
Article
in Zh
| WPRIM
| ID: wpr-525273
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ABSTRACT
Objective To evaluate a surgical procedure of low/ultralow colo-rectal(anal) anastomoses with sustaining bonding method after total mesorectal excision (TME) for lower rectal cancer. Methods After TME in 346 cases of lower rectal carcinoma, a sustaining anastomotic tube was inserted into the proximal colon, then the remnant was ligated and sutured. The rectal remnant no less than 1cm was preserved by colo-rectal anastomoses of modified Welch operation,while the rectal remnant no more than 1cm were preserved by colo-anal anastomoses with anal sphincter preservation. Results There was no perioperative mortality. Anastomotic leakage developed in 4 cases (1.2%), and anastomotic stenosis in 10 (2.9%). Postoperative 5 year survival and recurrence was 78.6%, 6.3% respectively. The defecation function was satisfactory in 82.6% cases. Conclusions Low/ultra-low colo-rectal(anal) anastomoses with sustaining bonding method after TME is safe and effective for lower rectal cancer.
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WPRIM
Language:
Zh
Journal:
Chinese Journal of General Surgery
Year:
2001
Type:
Article