Bowel control of anus-preserving operation for low rectal cancer in elderly patients over 75 years / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 496-499, 2005.
Artigo
em Chinês
| WPRIM
| ID: wpr-345149
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the bowel control of the anus-preserving operation for elderly patients over 75 years with low rectal cancer.</p><p><b>METHODS</b>Thirty-nine elderly patients over 75 years with low rectal carcinoma (4-7 cm from anal verge) were treated during the study period. The patients were divided into different groups according to the surgical procedures and anastomotic locations. The bowel control and patients satisfaction were compared.</p><p><b>RESULTS</b>The time of recovering normal defecation frequency was (9.8+/- 2.9) months. There were no differences in bowel control and anorectal manometric findings between the lower anastomosis group and super-lower anastomosis group, the lower anastomosis group and anorectal anastomosis group. The patients in anorectal anastomosis group displayed significantly better bowel control and anorectal manometric findings than those in the super-lower anastomosis group (P< 0.05). The time of recovering normal defecation frequency in colonic J-pouch-anal anastomosis group was (7.7+/- 1.7) months, shorter than (10.6+/- 2.8) months in direct anastomosis group (P< 0.01). The complication rate of I degree incontinence was 36.1%, but there was no difference between the two groups. The anorectal manometric findings were better in J-pouch-anal anastomosis group than those in direct anastomosis group (P< 0.05).</p><p><b>CONCLUSION</b>Colonic J-pouch-anal anastomosis for lower rectal carcinoma can significantly improve the bowel control in a short term without increasing the complication rate.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Canal Anal
/
Período Pós-Operatório
/
Neoplasias Retais
/
Cirurgia Geral
/
Anastomose Cirúrgica
/
Defecação
/
Incontinência Fecal
Limite:
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2005
Tipo de documento:
Artigo
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