After low anterior rectal resection, colonic pull-through with delayed colo-anal anastomosis can avoid the need for a diverting ileostomy
Fiche publication
Date publication
octobre 2009
Auteurs
Membres identifiés du Cancéropôle Est :
Dr FACY Olivier
Tous les auteurs :
Facy O, Lagoutte N, Jambet S, Radais F, Favre JP, Rat P, Deballon PO
Lien Pubmed
Résumé
A delayed colo-anal anastomosis has been proposed as a way to avoid diverting stoma after tow anterior resection. Surgical and functional results were reviewed in 17 patients operated between 1999 and 2007 using this technique. Complications included one colonic necrosis, two pelvic abscesses and one colovaginal fistula. Results of continence and quality of life scores were satisfactory Rates of parietal and septic complications are low after delayed colo-anal anastomosis and functional results are good. The use of this technique is particularly effective to avoid diverting ileostomy and for use in patients with a high risk of pouch fistula. (C) 2009 Elsevier Masson SAS. All rights reserved.
Référence
J Chir (Paris). 2009 Oct;146(5):458-63