The functional results of abdomino-anal resection of the rectum with the formation of a reservoir from the large intestine
Maĭstrenko, N.A.; Perezhogin, E.V.; Filippov, A.V.
Vestnik Khirurgii Imeni I. I. Grekova 157(5): 87-90
1998
ISSN/ISBN: 0042-4625 PMID: 9915065 Document Number: 497002
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.