Progress of the protection of anal function by optimizing anastomosis method after anterior resection for rectal cancer

doi:10.3877/cma.j.issn.1674-0793.2023.01.014

Abstract

Abstract:

Surgery is an important treaetment for rectal cancer. About 80%-90% patients with conventional straight colorectal anastomosis (SCA) in anterior resection of rectal cancer have different degrees of defecation dysfunction. The low anterior resection syndrome (LARS) will exist for a long time or take a long time to recover after operation, which seriously affects the quality of life of patients. In order to improve LARS, three optimized anastomosis methods are put forward: colonic J-pouch anastomosis (CJP), transverse coloplasty pouch anastomosis (TCP), side-to-end anastomosis (SEA). At present, the controversy of anastomosis method on postoperative function of patients has not been eliminated. Some recent researches show advantages with optimized anastomosis method, providing better functional protection and improving quality of life for patients with rectal cancer after surgery.

Key words: Rectal neoplasms, Low anterior resection syndrome, Anastomosis method, Optimized

Zijie Yang, Lianping Qu, Zengqiang Yang, Mingbin Gui, Min Zou, Kang Yang, Dechen Wang, Feng Gao. Progress of the protection of anal function by optimizing anastomosis method after anterior resection for rectal cancer[J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(01): 65-68.

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