Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer

BACKGROUND AND OBJECTIVE: There are several techniques for preserving the rectum in Low Anterior Resection (LAR) and preventing permanent ostomy. However, the superiority of these techniques is still under debate. The aim of this study was to compare the performance and clinical outcome of three met...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	M Alvandipour, Gh Godazandeh, E Khodabakhsh, MY Karami, S Moradi, S Borna
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2021
Materias:	rectal neoplasm proctectomy surgical anastomosis. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0cad32f5e86e4f3a8dcc5e28dc429629
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0cad32f5e86e4f3a8dcc5e28dc429629
record_format	dspace
spelling	oai:doaj.org-article:0cad32f5e86e4f3a8dcc5e28dc4296292021-11-29T07:40:49ZComparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer1561-41072251-7170https://doaj.org/article/0cad32f5e86e4f3a8dcc5e28dc4296292021-03-01T00:00:00Zhttp://jbums.org/article-1-9467-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: There are several techniques for preserving the rectum in Low Anterior Resection (LAR) and preventing permanent ostomy. However, the superiority of these techniques is still under debate. The aim of this study was to compare the performance and clinical outcome of three methods of straight, side-to-end, and colonic J-pouch colorectal anastomosis in patients with rectal cancer referred to Imam Khomeini Hospital in Sari. METHODS: In this prospective single-blind clinical trial, all 75 patients with rectal cancer over the age of 18 years with primary rectal tumor with resection capability and position of the lower or middle rectum 4 to 12 cm from the anal canal, during the period of 2017 to 2018 referred to Imam Khomeini Hospital in Sari, were randomly divided into three groups of 25 people using block sampling: (the first group: low anterior resection with straight anastomosis, the second group: surgery with colonic J-pouch and the third group: side-to-end anastomosis). Functional outcomes (measured by Wexner criteria) and surgical complications were compared in the two groups, and patients were followed up to evaluate the functional features of the anastomosis. FINDINGS: 60 patients including 29 women (48.33%) and 31 men were analyzed. The mean age of patients was 58.32±14.91 years. The mean length of surgery, median hospitalization and median bleeding in patients undergoing J-pouch anastomosis were 178.65±14.21 minutes, four days and 500 ml, respectively. No surgery-related complications were seen in the three groups. The Wexner criterion showed the superiority of patients who underwent J-pouch anastomosis surgery in the variables of daily defecation frequency, fecal incontinence and emergency defecation compared to the other two groups (p<0.001, p<0.005, p<0.022). CONCLUSION: The results of this study showed that the performance indices of patients with rectal cancer in people undergoing J-pouch anastomosis are better compared to side-to-end and straight methods.M AlvandipourGh GodazandehE KhodabakhshMY KaramiS MoradiS BornaBabol University of Medical Sciencesarticlerectal neoplasmproctectomysurgical anastomosis.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 23, Iss 1, Pp 244-251 (2021)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	rectal neoplasm proctectomy surgical anastomosis. Medicine R Medicine (General) R5-920
spellingShingle	rectal neoplasm proctectomy surgical anastomosis. Medicine R Medicine (General) R5-920 M Alvandipour Gh Godazandeh E Khodabakhsh MY Karami S Moradi S Borna Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
description	BACKGROUND AND OBJECTIVE: There are several techniques for preserving the rectum in Low Anterior Resection (LAR) and preventing permanent ostomy. However, the superiority of these techniques is still under debate. The aim of this study was to compare the performance and clinical outcome of three methods of straight, side-to-end, and colonic J-pouch colorectal anastomosis in patients with rectal cancer referred to Imam Khomeini Hospital in Sari. METHODS: In this prospective single-blind clinical trial, all 75 patients with rectal cancer over the age of 18 years with primary rectal tumor with resection capability and position of the lower or middle rectum 4 to 12 cm from the anal canal, during the period of 2017 to 2018 referred to Imam Khomeini Hospital in Sari, were randomly divided into three groups of 25 people using block sampling: (the first group: low anterior resection with straight anastomosis, the second group: surgery with colonic J-pouch and the third group: side-to-end anastomosis). Functional outcomes (measured by Wexner criteria) and surgical complications were compared in the two groups, and patients were followed up to evaluate the functional features of the anastomosis. FINDINGS: 60 patients including 29 women (48.33%) and 31 men were analyzed. The mean age of patients was 58.32±14.91 years. The mean length of surgery, median hospitalization and median bleeding in patients undergoing J-pouch anastomosis were 178.65±14.21 minutes, four days and 500 ml, respectively. No surgery-related complications were seen in the three groups. The Wexner criterion showed the superiority of patients who underwent J-pouch anastomosis surgery in the variables of daily defecation frequency, fecal incontinence and emergency defecation compared to the other two groups (p<0.001, p<0.005, p<0.022). CONCLUSION: The results of this study showed that the performance indices of patients with rectal cancer in people undergoing J-pouch anastomosis are better compared to side-to-end and straight methods.
format	article
author	M Alvandipour Gh Godazandeh E Khodabakhsh MY Karami S Moradi S Borna
author_facet	M Alvandipour Gh Godazandeh E Khodabakhsh MY Karami S Moradi S Borna
author_sort	M Alvandipour
title	Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
title_short	Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
title_full	Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
title_fullStr	Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
title_full_unstemmed	Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer
title_sort	comparison of performance and clinical outcome of three methods of straight, side-to-end, and colonic j-pouch colorectal anastomosis in patients with rectal cancer
publisher	Babol University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/0cad32f5e86e4f3a8dcc5e28dc429629
work_keys_str_mv	AT malvandipour comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer AT ghgodazandeh comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer AT ekhodabakhsh comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer AT mykarami comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer AT smoradi comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer AT sborna comparisonofperformanceandclinicaloutcomeofthreemethodsofstraightsidetoendandcolonicjpouchcolorectalanastomosisinpatientswithrectalcancer
_version_	1718407506512838656

Comparison of Performance and Clinical Outcome of Three Methods of Straight, Side-to-End, and Colonic J-Pouch Colorectal Anastomosis in Patients with Rectal Cancer

Ejemplares similares