• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文会议>International Society of University Colon and Rectal Surgeons >Indication for J-Pouch Reconstruction After Anterior Resection for Rectal Cancer: Upper Limit of Anastomotic Height from Anal Verge
【24h】

Indication for J-Pouch Reconstruction After Anterior Resection for Rectal Cancer: Upper Limit of Anastomotic Height from Anal Verge

机译：直肠癌前切除术后J-POUCE重建的指示：肛门边缘吻合体高度的上限

获取原文
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Functional outcome after anterior resection (AR) for rectal cancer is improved by colonic J-pouch reconstruction compared with straight anastomosis. The indications for colonic J-pouch reconstruction have yet to be determined. Therefore, we attempted to determine the level at which J-pouch reconstruction provides an advantage over straight anastomosis. There were 48 patients who underwent 5-cm colonic J-pouch reconstruction (J-pouch group) and 80 patients who underwent straight anastomosis (straight group) who were subjected to functional assessment 1 year postoperatively. The functional outcome in the J-pouch group was significantly better than that in the straight group when the distance of the anastomosis from the anal verge was less than 8 cm. The difference was particularly obvious when the level of the anastomosis was below 4 cm. However, functional outcome in the straight group when the anastomosis was between 9-12 cm from the anal verge also was satisfactory, and did not differ from that in the J-pouch group when the anastomosis was between 5 and 8 cm from the anal verge. Colonic J-pouch reconstruction is indicated when the distance of anastomosis from the anal verge is less than 8 cm, and it is particularly essential when less than 4 cm.
机译：与直吻合术相比，通过直肠J-POICOMS改善直肠癌前切除术（AR）后的功能结果。结肠J-POUCE重建的适应症尚未确定。因此，我们试图确定J-Poous重建提供优于直的吻合术的水平。有48名患者接受了5厘米的结肠J-POICH重建（J-POUCH GROUP）和80名接受直接吻合术（直组）的患者，术后1年进行功能评估。当肛门边缘吻合术的距离小于8厘米时，J-POUCH组的功能结果明显优于直线组中。当吻合术水平低于4厘米时，差异尤为明显。然而，当吻合术时，直组的功能结果在肛门边缘的9-12厘米之间也令人满意，并且当吻合术中肛门边缘的吻合术之间的介于5到8厘米之间时没有与J-POIK组中的不同之处。当肛门边缘的吻合术距离小于8厘米时，表明了结肠J-POUCH重建，并且当小于4厘米时特别重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号