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Defunctioning Ileostomy After Low Anterior Resection of Rectum: Morbidity Related to Fashioning and Closure.
Medicina (Kaunas)
November 2024
Department of General Surgery, Creta Interclinic Hospital, 71304 Heraklion, Greece.
: The aim of this study was to assess any predisposing factors to the morbidity of fashioning and reversal of diverting ileostomy in a prospective cohort of patients who have undergone TME and low colo-rectal or colo-anal anastomosis for rectal cancer. Consecutive patients with rectal cancer undergoing low anterior resection and a defunctioning loop ileostomy in three surgical units from 2016 to 2020 were included in the study and retrospectively analyzed. : One hundred eighty-two patients from three centres were included.
View Article and Find Full Text PDF[Risk factors of coloanal anastomotic stricture after laparoscopic intersphincteric resection for low rectal cancer].
Zhonghua Wei Chang Wai Ke Za Zhi
August 2019
Department of Colo-Rectal Disease Surgery, The Characteristic Medical Center of PLA Rocket Force, Beijing 100088, China.
To evaluate the risk factors of coloanal anastomotic stricture after laparoscopic intersphincteric resection (Lap-ISR) for patients with low rectal cancer. A retrospective case-control study was performed to collect clinicopathological data from a prospective database (registration number: ChiCTR-ONC-15007506) at the Department of Colorectal Surgery, the Characteristic Medical center of PLA Rocket Force. From June 2011 to August 2018, a total of 144 consecutive patients with low rectal cancer who underwent Lap-ISR were enrolled in the study.
View Article and Find Full Text PDF[The surgical tratment of the subperitoneal rectal cancer].
Ann Ital Chir
March 2011
Dipartimento P. Stefanini I Facoltà di Medicina e Chirurgia, Università La Sapienza, Roma Azienda Policlinico Umberto I.
Aim: To value the results of "open" surgery with sphincter preservation, TME nerve-sparing, fast-track, without a protective stoma in a consecutive series of patients with subperitoneal rectal cancer (s.p.r.
View Article and Find Full Text PDFSelective laparoscopic lateral dissection of regional micrometastasis in rectal carcinoma--ten years single center experience.
Minim Invasive Ther Allied Technol
December 2010
Department of Gastrointestinal Surgery & Institute of Digestive Surgery, West China Hospital, Sichuan University, Chengdu, PR China.
Although total mesorectal excision (TME) has been generally accepted as a principle of rectal cancer surgery, the corresponding laparoscopic approach still needs evaluation in depth, especially the controversial dissection of lateral pelvic areas. At our center, 982 patients with rectal cancers received laparoscopic or laparoscopic-assisted surgery during the past ten years. Short-term results showed an anastomic leakage rate of 4.
View Article and Find Full Text PDFThe blind colonic J-pouch: an original technique to reduce the surgical risk in the treatment of extra-peritoneal rectal cancer.
Int J Colorectal Dis
November 2007
Surgery Department, San Pietro-Fatebenefratelli Hospital, Via Cassia, 600, 00189, Rome, Italy.
Background: Low and ultra-low anterior resection with colo-rectal or colo-anal anastomosis is accompanied by high frequency of postoperative anastomotic leakage. The aim of this report is to describe a novel technical approach to colorectal reconstruction.
Materials And Methods: The innovative procedure introduces the principle of 'no anastomosis-no leakage', and it can be performed both laparascopically or by means of a laparotomy.
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