Scarless Two-Stage Delayed Coloanal Anastomosis: A Technique Description
Abstract: Introduction In current clinical practice, immediate coloanal anastomosis (ICA) remains the standard technique for restoring the gastrointestinal tract following coloproctectomy for low rectal cancer. This anastomosis still requires a temporary diverting stoma to decrease the postoperative morbidity, which remains significantly high. As an alternative, some authors have proposed a two-stage delayed coloanal anastomosis (TS-DCA). This article reports on the surgical technique of TS-DCA. Methods The case described is of a 53-year-old woman, without any particular history, in whom colonoscopy motivated by rectal bleeding revealed an adenocarcinoma of the low rectum. Magnetic resonance imaging showed a tumor ∼ 1 cm above the puborectalis muscle, graded cT3N +. The extension workup was negative. Seven weeks after chemoradiotherapy, a coloproctectomy with total mesorectal excision (TME) was performed. A TS-DCA was chosen to restore the digestive tract. Conclusion Two-stage delayed coloanal anastomosis is a safe and effective alternative for restoring the digestive tract after proctectomy for low rectal cancer. Recent data seem to show a clear advantage of this technique in terms of morbidity.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Scarless Two-Stage Delayed Coloanal Anastomosis: A Technique Description ; volume:43 ; number:01 ; year:2023 ; pages:056-060
Journal of coloproctology ; 43, Heft 01 (2023), 056-060
- Contributor
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Bendib, Hani
Oukrine, Hind
Djelali, Nabil
Lahrech, Said
Elbahi, Ameur
Chekman, Chemseddine
Azzouz, Abdelghani
Anou, Abdelkrim
Djennaoui, Azeddine
- DOI
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10.1055/s-0043-1764166
- URN
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urn:nbn:de:101:1-2023051110033601225822
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:52 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Bendib, Hani
- Oukrine, Hind
- Djelali, Nabil
- Lahrech, Said
- Elbahi, Ameur
- Chekman, Chemseddine
- Azzouz, Abdelghani
- Anou, Abdelkrim
- Djennaoui, Azeddine
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