Total mesorectal excision and low/ultra-low colo-rectal(anal) anastomoses with sustaining bonding method in the treatment of lower rectal cancer
- VernacularTitle:全直肠系膜切除支撑捆扎法低位或超低位结肠-直肠(肛管)吻合术
- Author:
Fanghai HAN
;
Wenhua ZHAN
;
Zhaoda ZHANG
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Anastomosis, surgical;
Sphincter, preserving;
Anus
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
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.
