BIOMAT Database Logo BIOMAT Database Logo

Functional results of delayed coloanal anastomosis after preoperative radiotherapy for lower third rectal cancer. 2000

E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Department of General and Digestive Surgery, Croix Rousse Hospital, Lyon, France.

BACKGROUND The aim of this study was to assess functional outcomes of patients who had a delayed coloanal anastomosis for a lower third rectal cancer after preoperative radiotherapy. METHODS From January 1988 to December 1997, 35 patients with an adenocarcinoma of the lower third of the rectum received preoperative radiotherapy (45Gy) followed by a rectal resection, combining an abdominal and transanal approach. Colorectal resection was performed about 32 days after the end of the radiotherapy. The distal colon stump was pulled through the anal canal. On postoperative day 5 the colonic stump was resected and a direct coloanal anastomosis performed without colostomia diversion. RESULTS There was no mortality. There was no leakage. One patient had a pelvic abscess. One patient had a necrosis of the left colon requiring reoperation. Another delayed coloanal anastomosis could be performed. Median followup was 43 months (range 6 to 113 months). Functional results were evaluated with a new scoring system including 13 items. Function was considered good in 59% and 70% at 1 and 2 years, respectively. CONCLUSIONS This new procedure is a safe and effective sphincter-preserving operation that avoids a diverting stoma for patients with rectal cancer of the lower third of the rectum. This technique is well adapted for patients receiving preoperative radiotherapy, with low local morbidity and good functional results. Further adaptation could be imagined for a coelioscopic approach.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D012004 Rectal Neoplasms Tumors or cancer of the RECTUM. Cancer of Rectum,Rectal Cancer,Rectal Tumors,Cancer of the Rectum,Neoplasms, Rectal,Rectum Cancer,Rectum Neoplasms,Cancer, Rectal,Cancer, Rectum,Neoplasm, Rectal,Neoplasm, Rectum,Rectal Cancers,Rectal Neoplasm,Rectal Tumor,Rectum Cancers,Rectum Neoplasm,Tumor, Rectal
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D003106 Colon The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON. Appendix Epiploica,Taenia Coli,Omental Appendices,Omental Appendix,Appendices, Omental,Appendix, Omental
D003672 Defecation The normal process of elimination of fecal material from the RECTUM. Bowel Function,Bowel Movement,Bowel Functions,Bowel Movements,Defecations

Related Publications

E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Preoperative radiotherapy is associated with worse functional results after coloanal anastomosis for rectal cancer.
December 2009, Diseases of the colon and rectum,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Invited commentary. Preoperative radiotherapy is associated with worse functional results after coloanal anastomosis for rectal cancer.
December 2009, Diseases of the colon and rectum,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Long-term functional results of coloanal anastomosis for rectal cancer.
January 1994, American journal of surgery,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Results of coloanal anastomosis for rectal cancer.
January 2000, Hepato-gastroenterology,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Coloanal anastomosis for distal third rectal cancer: prospective study of oncologic results.
October 1999, Diseases of the colon and rectum,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Functional and oncologic results after coloanal anastomosis for low rectal carcinoma.
January 1988, Annals of surgery,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Functional results after "high" coloanal anastomosis and "low" coloanal anastomosis with a colonic J-pouch for rectal carcinoma.
January 1997, Surgery today,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Delayed coloanal anastomosis: an alternative option for restorative rectal cancer surgery after high-dose pelvic radiotherapy for prostate cancer.
November 2020, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Abdomino-sacral approach for coloanal anastomosis for lower rectal cancer.
November 1999, American journal of surgery,
E Olagne, and J Baulieux, and E de la Roche, and M Adham, and N Berthoux, and O Bourdeix, and J P Gerard, and C Ducerf
Functional outcome after coloanal anastomosis with J-colonic pouch for rectal cancer.
January 1998, Annali italiani di chirurgia,
Copied contents to your clipboard!