The impact of two-stage Turnbull-Cutait pull-through coloanal anastomosis on anal function and surgical safety in the treatment of low rectal cancer
- VernacularTitle:拖出式结肠肛管延期吻合术对肛门功能的影响以及手术安全性的研究
- Author:
Hanxiao ZHAO
1
;
Yuchen GUO
1
;
Liang HE
1
;
Luyao ZHANG
1
;
Jia'nan SUN
1
;
Xuan SUN
1
;
Yinquan ZHAO
1
;
Yanpeng XING
1
;
Yanjun WANG
1
;
Meiling WANG
1
;
Yang GONG
1
;
Quan WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: Rectal neoplasms; Anastomosis, surgical; Syndrome; Anal function; Stoma
- From: Chinese Journal of General Surgery 2025;40(2):101-107
- CountryChina
- Language:Chinese
- Abstract: Objective:To explore the anal function and postoperative complications of 2-stage Turnbull-Cutait pull-through coloanal anastomosis (TCA) for low rectal cancer.Methods:Patients undergoing radical rectal cancer resection from Feb 2023 to Nov 2024 in the First Hospital of Jilin University were divided into the TCA surgery group and the low anterior resection combined with prophylactic stoma (LAR) surgery group.Results:Among the 102 patients, there were 50 cases in the TCA group and 52 cases in the LAR group. In the single-arm analysis of the TCA group, the overall complication rate was 44%. The incidence rates of severe LARS at 1 month, 3 months, and 6 months after surgery were 97%, 77%, and 64% respectively. There was no significant difference in the complication rate within 30 days after surgery between the two groups,(44% vs. 38%, χ2=0.135, P>0.05). There was no significant difference in the incidence rate of severe LARS between the TCA group and the LAR group (77% vs. 69%, χ2=0.202, P>0.05), and there was not significant difference in the incidence rate of severe LARS between the two groups at the 6th month after surgery,(64% vs. 48%, χ2=1.132, P>0.05). Conclusion:In patients who underwent TCA surgery, the LARS symptoms gradually decreased over time. Compared with patients undergoing low anterior resection and stoma reversal, there were no significant differences in complications within 30 days after surgery and LARS symptoms within half a year.
