Total rectal resection and colo-anal anastomosis with colonic reservoir for low rectal cancer

E. Leo, F. Belli, M. T. Baldini, M. Vitellaro, L. Mascheroni, S. Andreola, M. Bellomi, G. Rebuffoni, F. Lombardi, R. Audisio, A. Filiberti

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From March 1990 to December 1992, 47 patients with primary or recurrent low rectal cancer under-went total rectal resection and a coloendoanal anastomosis. Rectal resection was extended downward to the ano-rectal junction. The restorative technique included a colo-endoanal anastomosis between the dentate line and a J-shaped colic reservoir. All lesions were located within 7 cm of the anal verge (within 6 cm in 33 primary cases). Macroscopic and histological radicality was documented in all cases. Pelvic recurrence occurred in six patients and was para-anastomotic in one case. Post-operative morbidity was low. Perfect continence was documented in 36 patients and 72 of the cases had one or two bowel movements a day. All but four patients are alive at a follow-up ranging from 6 to 40 months (median 20 months). This approach is a safe option to conventional total rectal excision with permanent colostomy for lower third rectal carcinoma.

Original languageEnglish
Pages (from-to)82-86
Number of pages5
JournalInternational Journal of Colorectal Disease
Issue number2
Publication statusPublished - Jun 1994


ASJC Scopus subject areas

  • Gastroenterology

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