The functional results of abdomino-anal resection of the rectum with the formation of a reservoir from the large intestine

Under study were clinical and functional results of 27 patients aged 36 to 68 years with adenocarcinoma (pT2-T3) of the ampullar part of the rectum who were submitted to abdomino-anal resection with the formation of J-shaped colonic reservoir. In the nearest postoperative period partial incompetence...

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Bibliographic Details
Published inVestnik hirurgii im. I.I. Grekova Vol. 157; no. 5; p. 87
Main Authors Maĭstrenko, N A, Perezhogin, E V, Filippov, A V
Format Journal Article
LanguageRussian
Published Russia (Federation) 1998
Subjects
Adenocarcinoma - pathology
Adenocarcinoma - physiopathology
Adenocarcinoma - surgery
Adult
Aged
Anastomosis, Surgical - methods
Colon - surgery
Defecation
Female
Humans
Male
Middle Aged
Neoplasm Staging
Postoperative Complications - epidemiology
Proctocolectomy, Restorative - methods
Rectal Neoplasms - pathology
Rectal Neoplasms - physiopathology
Rectal Neoplasms - surgery
Rectum - pathology
Rectum - surgery
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Summary:Under study were clinical and functional results of 27 patients aged 36 to 68 years with adenocarcinoma (pT2-T3) of the ampullar part of the rectum who were submitted to abdomino-anal resection with the formation of J-shaped colonic reservoir. In the nearest postoperative period partial incompetence of the coloanal anastomosis, necrosis of the reservoir wall and its inflammation appeared in 4 patients. In 6 months after closure of the protective transversostomy full continence was noted in 24 patients. In 3 patients only there was a periodic incontinence of liquid stools and flatus. The formation of J-shaped colonic reservoir in patients requiring the formation of low colorectal or coloanal anastomoses gives considerably better functional results of total resection of the rectum.
ISSN:0042-4625