Research progress of different bowel reconstructions for postoperative functional protection during low anterior resections of rectal cancer.
10.3760/cma.j.cn.441530-20201223-00672
- VernacularTitle:直肠癌低位前切除术中不同肠道重建方式对术后功能保护的研究进展
- Author:
Sen HOU
1
;
Fan LIU
1
;
Ying Jiang YE
1
Author Information
1. Department of Gastrointestinal Surgery, Laboratory of Surgical Oncology, Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People's Hospital, Beijing 100044, China.
- Publication Type:Journal Article
- Keywords:
Bowel reconstruction;
Function protection;
Low anterior resection syndrome;
Rectal neoplasms
- MeSH:
Anal Canal;
Anastomosis, Surgical;
Colon/surgery*;
Colonic Pouches;
Digestive System Surgical Procedures;
Humans;
Proctectomy;
Proctocolectomy, Restorative;
Rectal Neoplasms/surgery*;
Treatment Outcome
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(4):372-376
- CountryChina
- Language:Chinese
-
Abstract:
Straight coloanal anastomosis (SCA), colonic J-pouch anastomosis (CJP), transverse coloplasty pouch anastomosis (TCP), and side-to-end anastomosis (SEA) are the most commonly used procedures of bowel reconstructions in the low anterior resections (LAR) of rectal cancer. Different bowel reconstruction procedures greatly affect postoperative bowel function, urinary function and sexual function. SCA is the most traditional procedure. CJP has been studied extensively and well-developed reconstruction method; however, recent studies have shown that CJP has the highest morbidity of complications, so the clinical application of CJP is limited. SEA is not inferior to CJP and SCA in the short-term and long-term defecation function, urination function, and sexual function, with reliable operational safety, so it is expected to become an alternative to SCA and CJP. The research on TCP is lacking, but there are some related clinical trials currently underway, and the results are worth expecting. The improvement and innovation of bowel reconstructions provide a bright prospect for better functional prognosis in patients with rectal cancer.
