scholarly journals Straight and colonic J-pouch reconstruction after low anterior resection

2006 ◽  
Vol 53 (2) ◽  
pp. 109-112 ◽  
Author(s):  
B. Teleky ◽  
Barbara Jech ◽  
Judith Karner-Hanusch ◽  
Irene Kuehrer ◽  
P. Götzinger ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Rectal Surgery ◽  
Pelvic Sepsis ◽  
Colonic Pouch ◽  
Functional Evaluation ◽  
Stricture Rate ◽  
Significant Difference ◽  
J Pouch ◽  
Descending Colon

Purpose: A complication after restorative rectal surgery with a straight anastomosis is low-anterior resection syndrome with a postoperatively deteriorated anorectal function. The colonic J-reservoir is sometimes used with the purpose of reducing these symptoms. An alternative method is to use a simple side-to-end anastomosis or a coloplasty. Material and Methods: Three-hundred fifty seven patients with rectal cancer undergoing total mesorectal excision (TME). Three-hundred (84.0%) received a low anterior resection with primary anastomosis and colo-rectal n=194 (64.6%) or colo-anal anastomosis n=106 (35.3%). A colonic pouch using the descending colon was created in 24 patients and in 75 patients respectively. Surgical results and complications were recorded. Patients were followed with a functional evaluation at 6 and 12 months postoperatively. Results: Patient characteristics in both groups were very similar regarding gender, age, tumor level, and Dukes? stages. A large proportion of the patients received short-term preoperative radiotherapy (72%). There was no significant difference in surgical outcome between the 2 techniques with respect to anastomotic height, perioperative blood loss, , postoperative complications, reoperations, hospital stay or pelvic sepsis rates except the anastomotic stricture rate in the colonic J-Pouch group after coloanal anastomosis (p<0.02). Conclusions: These data show that either a colonic Jpouch or a straight anastomosis performed on the descending colon in low-anterior resection with TME are methods that can be used with similar expected surgical and functional results.

Evaluation of the Quality, Educational Value and Utility of the Videos on YouTube for Laparoscopic Low Anterior Resection

2021 ◽  
pp. 000313482110111
Author(s):  
Erol Piskin ◽  
Muhammet Kadri Çolakoğlu ◽  
Ali Bal ◽  
Volkan Oter ◽  
Erdal Birol Bostanci
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Video Quality ◽  
Relevant Information ◽  
Teaching Quality ◽  
Educational Value ◽  
Laparoscopic Low Anterior Resection ◽  
Significant Difference ◽  
October 17

Background Minimally invasive surgery is a rising trend in colorectal surgery and is on its way to becoming the gold standard due to the benefits it provides for patients. This study aims to test the efficacy for educational purposes by evaluating the videos published on YouTube ( www.youtube.com ) channel for low anterior resection procedure in rectum surgery. Methods We searched YouTube on October 17, 2020 to choose video clips that included relevant information about laparoscopic low anterior resection (LAR) for rectal cancer. Results We included 25 academics and 75 individual videos in this study. The teaching quality of the videos was evaluated according to academic and individual videos, and it was seen that the teaching quality scores of academic videos were higher and this result was statistically significant ( P = .03). The modified Laparoscopic Surgery Video Educational Guidelines (LAP-VEGaS) criteria were found that the score was higher in individual videos ( P = .014). The median Video Power Index (VPI) value was 1.50 (range .05-347) and the mean ratio was 7.01 ± 3.52. There was no statistically significant difference between the 2 groups ( P = .443). Discussion Video-based surgical learning is an effective method for surgical education. Our study showed that the video quality and educational content of most of the videos about the low anterior resection procedure on YouTube were low. The videos of academic origin seem more valuable than individual videos. As far as video popularity is concerned, YouTube viewers are not selective. For this reason, training videos to be used for educational purposes must be passed through a standardized evaluation filter.

Functional outcome after low anterior resection with low anastomosis for rectal cancer using the colonic J-pouch

1996 ◽  
Vol 39 (9) ◽  
pp. 986-991 ◽  
Author(s):  
Jin-ichi Hida ◽  
Masayuki Yasutomi ◽  
Kiyoshige Fujimoto ◽  
Kiyotaka Okuno ◽  
Shintarou Ieda ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Functional Outcome ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
J Pouch

Long-Term Functional Outcome of Colonic J-pouch Reconstruction After Low Anterior Resection for Rectal Cancer

Surgery Today ◽  
2006 ◽  
Vol 36 (5) ◽  
pp. 441-449 ◽  
Author(s):  
Jin-ichi Hida ◽  
Takehito Yoshifuji ◽  
Kiyotaka Okuno ◽  
Tomohiko Matsuzaki ◽  
Toshihiro Uchida ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Functional Outcome ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
J Pouch ◽  
Pouch Reconstruction

scholarly journals Comparison of functional outcome of colonic J-pouch and latero-terminal anastomosis in low anterior resection for rectal cancer

2015 ◽  
Vol 143 (3-4) ◽  
pp. 158-161 ◽  
Author(s):  
Velimir Markovic ◽  
Ivan Dimitrijevic ◽  
Goran Barisic ◽  
Zoran Krivokapic
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Functional Results ◽  
Defecatory Function ◽  
Parallel Group ◽  
J Pouch ◽  
Colorectal Surgeons ◽  
The Difference ◽  
Continence Score

Introduction. Functional results after low anterior resection for rectal cancer are an issue of increasing attention among colorectal surgeons and others interested in this subject. The consensus on ideal reconstruction type has not been achieved to date, although the number of papers on this subject has been published in recent years. Objective. We conducted a prospective, parallel group study comparing latero-terminal with colonic J-pouch anastomosis in terms of defecatory function in patients undergoing stapled low colorectal/ coloanal anastomosis. Methods. A total of 80 patients were included in this study with either latero-terminal or colonic J-pouch anastomosis. Defecatory function was evaluated using the modified version of MSKCC questionnaire 6, 12 and 24 months after the operation. Fecal continence was evaluated using the Wexner continence score. Results. In both groups, trend towards improvement was registered in all measured variables in all three control intervals. This can apply to bowel frequency, urgency, night soiling, fragmentation and incomplete evacuation. However, the difference was not statistically significant, and when reviewing the trend of results we can note that in the J-pouch group steady state has not been reached even after 24 month control. Conclusion. This trial did not reveal any significant differences in defecatory function 6, 12 and 24 months after low anterior resection (LAR) between patients with a latero-terminal anastomosis and those with colonic J-pouch anastomosis. Our results did not confirm superiority of colonic J-pouch over the lateroterminal anastomosis.

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