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KMID : 0356719960120010109
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Journal of the Korean Society of Coloproctology
1996 Volume.12 No. 1 p.109 ~ p.115
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Early Functional Results of Ultra-low Anterior Resection with a Colonic J-pouch Anal Anastomosis in Mid or Low Rectal Cancer
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Park Jae-Gahb
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Abstract
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To evaluate the early functional results of ultra-low anterior resection with a colonic J-pouch anal anastomosis in mid or low rectal cancer, we retrospectively compared the clinical and functional results in 13 patients having a colonic J-pouch anal anastomosis(JA) and 13 patients having a straight coloanal anastomosis(SA). There were no significant differences in age, sex, tumor size, level of tumor and distal resection margins between the two groups. The mean duration of follow-up was 8.2(1∼17) months in patients with JA and 6.2(1∼12) months in patients with SA. Protecting ileostomy was performed in 4 cases in patients with JA and 2 cases in patients with SA. Radiation therapy was performed in 6 cases in patients with JA and 7 cases in patients with SA. Postoperative complication and histologic grade of the carcinomas and
Dukes stage were similar in the two groups. Postoperative radiation therapy increased daily stool frequency in SA group. Even though statistically not significant, there was a tendency of lower stool frequency and lower incidence of incontinence in patients with JA than in Patients with SA. Therefore, in selected cases, colonic J-pouch anal anastomosis should be considered in ultra-low anterior resection.
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KEYWORD
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Ileal Pouch-Anal Anastomosis, Low Anterior Resection
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