PROSPECTIVE RANDOMIZED TRIAL COMPARING J-COLONIC POUCH-ANAL ANASTOMOSIS AND STRAIGHT COLOANAL RECONSTRUCTION
PROSPECTIVE RANDOMIZED TRIAL COMPARING J-COLONIC POUCH-ANAL ANASTOMOSIS AND STRAIGHT COLOANAL RECONSTRUCTION
复制标题
DOI：
10.1002/bjs.1800820511
复制
发表时间：
1995-05-01
影响因子：
9.6
通讯作者：
GOH, HS
中科院分区：
文献类型：
--
作者：
SEOWCHOEN, F;GOH, HS
20 名低位直肠癌患者（13 名男性），中位（范围）年龄 64.5（38-83）岁，前瞻性随机接受超低位前切除术和 J 型结肠储袋肛门吻合术（吻合术距肛缘的中位（范围）距离 3（1-4）cm）。另外 20 名低位直肠癌患者（15 名男性），中位（范围）年龄 62.5（44-86）岁）被随机接受直肠结肠吻合术（吻合术距肛缘的中位（范围）距离 3.25（2-5）cm）。两组之间的手术时间或并发症没有显着差异。回肠造口闭合后1、6和12个月接受储袋肛门吻合术的患者术后肛门功能明显改善。 12 个月时，所有接受造口袋重建术的患者（19 名患者中的 19 名）均恢复了正常的自控能力，而接受结肠直肠吻合术的 20 名患者中只有 14 名患者恢复了正常的自控能力。没有患者抱怨严重便秘，需要灌肠或插管来排空。
Twenty patients (13 men) with low rectal cancer, median (range) age 64.5 (38-83) years were prospectively randomized to undergo ultra-low anterior resection with a J colonic pouch-anal anastomosis (median (range) distance of anastomosis from the anal verge 3 (1-4) cm). Another 20 patients (15 men), median (range) age 62.5 (44-86) years) with low rectal cancer were randomized to a straight coloanal anastomosis (median (range) distance of anastomosis from the anal verge 3.25 (2-5) cm). There were no significant differences in operative time or complications between the two groups. There was significantly better postoperative anal function in patients who underwent pouch-anal anastomosis at 1, 6 and 12 months after ileostomy closure. At 12 months all patients (19 of 19) with a pouch reconstruction had regained normal continence compared with 14 of 20 of those who had a straight coloanal anastomosis. No patient complained of severe constipation requiring enema or intubation to evacuate.