Osman Serhat Guner1,2, Latif Volkan Tumay2,3. 1. Department of Surgery, Acibadem Bodrum Hospital, Bodrum, Turkey. 2. Operating Room Services, Acibadem University, Vocational School of Health Sciences, Istanbul, Turkey. 3. Department of Surgery, Acibadem Bursa Hospital, Bursa, Turkey.
Abstract
BACKGROUND: This study aimed to compare the standard one-stage coloanal anastomosis (CAA) technique plus diverting ileostomy and the Turnbull-Cutait (T-C) technique with delayed CAA in terms of early post-operative morbidity in patients with low rectal cancer. METHODS: A total of 33 patients with non-metastatic distal rectal cancer who were operated with one of the two different reconstruction methods (one-stage CAA plus diverting ileostomy or two-stage T-C technique with delayed CAA) after total mesorectal excision were included in this retrospective study. The two groups were compared for early post-operative morbidity within 30 post-operative days using complication frequency, Clavien-Dindo classification and Comprehensive Complication Index scores. RESULTS: The two groups did not differ in terms of morbidity parameters, including frequency of any morbidity, presence of grade 3b morbidity requiring management under general anaesthesia, as well as Comprehensive Complication Index score (P > 0.05 for all). CONCLUSION: Our findings suggest that the two techniques did not differ in terms of early post-operative morbidity. Owing to its comparable morbidity and safety to CAA plus concomitant ileostomy performed at the same session, the T-C technique may be considered in distal rectal cancer patients refusing to have a temporary stoma and in patients in whom CAA poses technical difficulties during the initial operation.
BACKGROUND: This study aimed to compare the standard one-stagecoloanal anastomosis (CAA) technique plus diverting ileostomy and the Turnbull-Cutait (T-C) technique with delayed CAA in terms of early post-operative morbidity in patients with low rectal cancer. METHODS: A total of 33 patients with non-metastatic distal rectal cancer who were operated with one of the two different reconstruction methods (one-stageCAA plus diverting ileostomy or two-stageT-C technique with delayed CAA) after total mesorectal excision were included in this retrospective study. The two groups were compared for early post-operative morbidity within 30 post-operative days using complication frequency, Clavien-Dindo classification and Comprehensive Complication Index scores. RESULTS: The two groups did not differ in terms of morbidity parameters, including frequency of any morbidity, presence of grade 3b morbidity requiring management under general anaesthesia, as well as Comprehensive Complication Index score (P > 0.05 for all). CONCLUSION: Our findings suggest that the two techniques did not differ in terms of early post-operative morbidity. Owing to its comparable morbidity and safety to CAA plus concomitant ileostomy performed at the same session, the T-C technique may be considered in distal rectal cancerpatients refusing to have a temporary stoma and in patients in whom CAA poses technical difficulties during the initial operation.
Authors: A Berger; E Tiret; R Parc; P Frileux; L Hannoun; B Nordlinger; R Ratelle; R Simon Journal: World J Surg Date: 1992 May-Jun Impact factor: 3.352
Authors: C La Raja; C Foppa; A Maroli; C Kontovounisios; N Ben David; M Carvello; A Spinelli Journal: Tech Coloproctol Date: 2022-03-28 Impact factor: 3.699