Biomedical Research

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +44-7360-538437

Research Article - Biomedical Research (2017) Volume 28, Issue 2

Individualized choice regarding the method for ensuring negative margins in an anus-preserving operation for ultralow rectal carcinoma

Background: To explore the safety and efficacy of individualized choice regarding the method for ensuring negative margins in an anus-preserving operation for ultralow rectal carcinoma.

Methods: Thirty-seven patients with ultralow rectal carcinomas were enrolled from February 2011 to February 2013. On the premise of ensuring negative margins, 15 patients underwent a transabdominal coloanal anastomosis using a double-stapling technique; 12 patients underwent a transabdominal coloanal anastomosis using a triple-stapling technique; 7 patients underwent a transanal pull-through coloanal anastomosis using a double-stapling technique; and 3 patients underwent a transanal pullthrough coloanal anastomosis using a triple-stapling technique. Of the patients who underwent a transabdominal coloanal anastomosis, 8 patients had a preventive colostomy, and all patients who had a pull-through coloanal anastomosis had a preventive colostomy.

Results: Among the patients who did not have a preventive colostomy, 4 patients had an anastomotic fistula, and 1 patient had an anastomotic fistula with a hemorrhage and urination disorder. Additionally, 9 patients had short-term postoperative fecal incontinence; all had diarrhea, with symptom resolution 6 months later. The patients who had a preventive colostomy underwent diaplases 3 months later, with no deaths occurring.

Author(s): Yi Wang

Abstract Full Text PDF

Get the App