COMPLICATIONS OF STAPLED ANASTOMOSES IN ANTERIOR RESECTION FOR RECTAL-CARCINOMA - COLORECTAL ANASTOMOSIS VERSUS COLOANAL ANASTOMOSIS

被引:13
作者
BURKE, ERC
WELVAART, K
机构
[1] Department of Surgery, University Hospital, University of leiden
关键词
anastomotic leaks; anastomotic stenosis; concomitant colostomy; EEA‐stapler; fecal incontinence;
D O I
10.1002/jso.2930450310
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Postoperative results of 48 patients who underwent anterior resection using the EEA‐stapler were evaluated. In all but 2 cases the indication for surgery was colorectal carcinoma. In 24 patients an anastomosis was created above the 5 cm level (above the anal verge: colorectal anastomosis) and in 24 at the 0‐5 cm level (coloanal anastomosis). There was no perioperative mortality. The only complication observed in the colorectal anastomosis group was one case of late anastomotic stenosis. In the coloanal anastomosis group there were 4 cases with early anastomosis leaks, 3 cases with late stenosis and 5 cases with various degrees of late fecal incontinence, ultimately resulting in a permanent diverting stoma in 5 (10.4%) patients. We conclude that for rectal tumors the EEA‐stapled anterior resection provides excellent functional results in most cases. Stapled coloanal anastomoses more often demonstrate various (early and late) complications. Nevertheless in spite of chronic discomfort, many patients still prefer their complaints to a permanent stoma. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company
引用
收藏
页码:180 / 183
页数:4
相关论文
共 13 条
[1]   THE PROGNOSTIC SIGNIFICANCE OF DIRECT EXTENSION OF CARCINOMA OF THE COLON AND RECTUM [J].
ASTLER, VB ;
COLLER, FA .
ANNALS OF SURGERY, 1954, 139 (06) :846-852
[2]  
BUCHMANN P, 1983, DIS COLON RECTUM, V26, P217, DOI 10.1007/BF02562480
[3]   COMPLICATIONS OF ANTERIOR RESECTION OF THE RECTUM USING THE EEA STAPLING DEVICE [J].
CADE, D ;
GALLAGHER, P ;
SCHOFIELD, PF ;
TURNER, L .
BRITISH JOURNAL OF SURGERY, 1981, 68 (05) :339-340
[4]  
DETRY R J, 1984, Digestive Surgery, V1, P2, DOI 10.1159/000171629
[5]  
GORDON PH, 1984, SURG CLIN N AM, V64, P555
[6]   PROTECTIVE COLOSTOMY IN LOW ANTERIOR RESECTION OF THE RECTUM USING THE EEA STAPLING INSTRUMENT - A RANDOMIZED STUDY [J].
GRAFFNER, H ;
FREDLUND, P ;
OLSSON, SA ;
OSCARSON, J ;
PETERSSON, BG .
DISEASES OF THE COLON & RECTUM, 1983, 26 (02) :87-90
[7]   THE LOW STAPLED ANASTOMOSIS [J].
HEALD, RJ ;
LEICESTER, RJ .
BRITISH JOURNAL OF SURGERY, 1981, 68 (05) :333-337
[8]   EFFECT OF ANTERIOR RESECTION ON ANAL-SPHINCTER FUNCTION [J].
HORGAN, PG ;
OCONNELL, PR ;
SHINKWIN, CA ;
KIRWAN, WO .
BRITISH JOURNAL OF SURGERY, 1989, 76 (08) :783-786
[9]   ANTERIOR RESECTION FOR MID-RECTAL CANCER WITH THE EEA STAPLING INSTRUMENT [J].
KIRKEGAARD, P ;
CHRISTIANSEN, J ;
HJORTRUP, A .
AMERICAN JOURNAL OF SURGERY, 1980, 140 (02) :312-314
[10]  
KUIJPERS JHC, 1983, NETH J SURG, V35, P73