Evaluating effect after side-to-end anastomosis in low anterior resection for rectal cancer

  • Nguyễn Tiến Quang
  • Chử Quốc Hoàn

Main Article Content

Keywords

Rectal cancer, side-to-end anastomosis

Abstract

Summary


Objective: To evaluate the outcome of side-to-end anastomosis after low anterior resection in rectal cancer patients. Subject and method: A prospective study included 42 patients, all patients with pathologically confirmed rectal cancer who underwent low anterior resection with side to end anastomosis. Result: The mean age of patients was 58.4 years old, the male rate was 35.7%. The average distance from the pole to the edge of the anus was 7.7cm. The mean operative time was 105 minutes. The average hospital stay was 9.6 days. All patients in the study did not experience complications during surgery. No patient underwent artificial anal protection. 100% of patients in the study had a negative section biopsy. No patient died within the first 30 days after surgery. In the study, 1 patient with pneumonia who had stable medical treatment and discharged from the hospital after 12 days. 90% of patients did not need to reduce peristalsis even after 1 month of diarrhea, and 100% of patients do not need to reduce peristalsis after 6 months. 100% of patients had the ability to stop defecation with solid stool > 15 minutes at the time of 6 months after surgery. Conclusion: Side-to-end anastomosis is a simple method, safety and feasibility.


Keywords: Rectal cancer, side-to-end anastomosis.

Article Details

References

1. Trương Vĩnh Quý (2018) Đánh giá kết quả điều trị triệt căn ung thư trực tràng thấp bằng phẫu thuật nội soi có bảo tồn cơ thắt. Luận án Tiến sỹ y học, Trường Đại học Y dược Huế.
2. Jiang JK, Yang SH and Lin JK (2005) Transabdominal anastomosis after low anterior resection: A prospective, randomized, controlled trial comparing long-term results between side-to-end anastomosis and colonic J-pouch. Dis Colon Rectum 48: 2100-2110.
3. Macchado M, Nygren J, Goldman S and Ljungqvist O (2003) Similar outcome after colonic pouch and side-to-end anastomosis in low anterior resection for rectal cancer. A prospective randomized trial. Ann Surg 238: 214-220.
4. FT Huber, B Herter, JR Siewert (1999) Colonic pouch vs. side-to-end anastomosis in low anterior resectio. Dis Colon Rectum 42(7): 896-902.
5. EG Rybakov, DY Pikunov, OY Fomenko, SV Chernyshov, YA Shelygin (2016) Side-to-end vs. straight stapled colorectal anastomosis after low anterior resection: Results of randomized clinical trial. Int J Colorectal Dis 31: 1419-1426.