Misconceptions about the colonic J-pouch - What the accumulating data show
Misconceptions about the colonic J-pouch - What the accumulating data show
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DOI：
10.1007/bf02236940
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发表时间：
1999-06-01
影响因子：
3.9
通讯作者：
Parry, BR
中科院分区：
文献类型：
--
作者：
Dennett, ER;Parry, BR
简介：自 1986 年首次描述结肠 J 型储袋肛门吻合术以来，它作为低位直肠癌手术的首选手术已获得越来越多的认可。然而，对其使用仍然存在一些误解，即吻合口并发症、肛门直肠生理学的改变和功能结果。方法：对 1986 年至今来自 MEDLINE 数据库的所有相关文章进行了回顾。重点是回顾据称使结肠 J 袋肛门吻合术优于直接吻合术的特征。结果与结论：结肠J型储袋在超低位直肠癌手术中具有一定作用，可明显降低吻合口瘘的发生率并减少排便次数。失禁不会改变，并且可以通过构建小造口袋（小于或等于5厘米）来减少排便困难。
INTRODUCTION: Since 1986 when the colonic J-pouch-anal anastomosis was first described, it has gained increasing acceptance as the operation of choice for low rectal cancer surgery. However, there still exist several misconceptions about its use, namely anastomotic complications, alterations in anorectal physiology, and functional outcome. METHODS: All relevant articles derived from MEDLINE databases from 1986 to the present were reviewed. Emphasis was placed on reviewing the features that are claimed to make the colonic J-pouch-anal anastomosis superior to a straight anastomosis. RESULTS AND CONCLUSIONS: The colonic J-pouch has a role in ultra-low rectal cancer surgery, with an apparent reduction in the incidence of anastomotic leaks and reduced bowel frequency. Continence is unchanged and defecatory difficulties can be reduced by constructing a small pouch (less than or equal to 5 cm).