PURPOSE: Functional outcome after anterior resection for rectal cancer is improved by colonic J-pouch reconstruction compared with straight anastomosis. The indications for colonic J-pouch reconstruction have pet to be determined. Therefore, we attempted to determine the level at which J-pouch reconstruction provides an advantage over straight anastomosis. METHODS: A total of 48 patients who under went 5-cm colonic J-pouch reconstruction (J-pouch group) and 80 patients who underwent straight anastomosis (straight group) underwent functional assessment one year postoperatively. RESULTS: The functional outcome in the J-pouch group was significantly better than that in the straight group when the distance of the anastomosis from the anal verge was less than 8 cm. The difference was particularly obvious when the level of the anastomosis was below 4 cm. However, functional outcome in the straight group when the anastomosis was between 9 and 12 cm from the anal verge was also satisfactory and did not differ from that in the J-pouch group when the anastomosis was between 5 and 8 cm from the anal verge. CONCLUSIONS: Colonic J-pouch reconstruction is indicated when the distance of anastomosis from the anal verge is less than 8 cm, and it is essential when the distance is less than 4 cm.
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
BERGER, A
;
TIRET, E
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
TIRET, E
;
PARC, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
PARC, R
;
FRILEUX, P
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
FRILEUX, P
;
HANNOUN, L
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
HANNOUN, L
;
NORDLINGER, B
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
NORDLINGER, B
;
RATELLE, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
RATELLE, R
;
SIMON, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
BERGER, A
;
TIRET, E
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
TIRET, E
;
PARC, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
PARC, R
;
FRILEUX, P
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
FRILEUX, P
;
HANNOUN, L
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
HANNOUN, L
;
NORDLINGER, B
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
NORDLINGER, B
;
RATELLE, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE
RATELLE, R
;
SIMON, R
论文数: 0引用数: 0
h-index: 0
机构:
HOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCEHOP ST ANTOINE,DEPT DIGEST SURG,184 RUE FAUBOURG ST ANTOINE,F-75571 PARIS 12,FRANCE