Objective: To evaluate the effect of anastomosis of the cecum and anus preserving the ileocecal valve through the rectal muscular cuff in the treatment of benign colorectal diseases.

Methods: Eight cases including 5 ulcerative colitis and 3 familial adenomatous polyposis treated with this surgical procedure between 1990 to 2000 were retrospectively reviewed.

Results: During the 5 to 10 years of follow-up, no relapse, wound infection or anal fistula occurred in these patients, who had normal urination and sexual functions. The bowel movements decreased to 3 to 5 times a day within 8 to 10 weeks after the operation, and recovered to normal status (1 to 3 times a day) in 3-4 months.

Conclusion: This surgical procedure could produce clinically satisfactory result in the cases of ulcerative colitis and familial adenomatous polyposis.

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