Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancers

JAMA Surgery ◽  
2020 ◽  
Author(s):  
Ryan Sun ◽  
Craig Messick ◽  
Lee-Jen Wei
Keyword(s):  
Coloanal Anastomosis ◽  
Two Stage ◽  
Rectal Cancers ◽  
Pull Through

Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancers

JAMA Surgery ◽  
2020 ◽  
Author(s):  
Antonio Manenti ◽  
Luca Reggiani-Bonetti ◽  
Gianrocco Manco
Keyword(s):  
Coloanal Anastomosis ◽  
Two Stage ◽  
Rectal Cancers ◽  
Pull Through

TAMIS Proctectomy With Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis For Iatrogenic Rectourethral Fistulas

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Beatriz Martín-Pérez ◽  
Ron Dar ◽  
Gabriele Bislenghi ◽  
Jasper Stijns ◽  
Tine Grégoir ◽  
...  
Keyword(s):  
Coloanal Anastomosis ◽  
Two Stage ◽  
Pull Through

scholarly journals Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancer

JAMA Surgery ◽  
2020 ◽  
Vol 155 (8) ◽  
pp. e201625 ◽  
Author(s):  
Sebastiano Biondo ◽  
Loris Trenti ◽  
Eloy Espin ◽  
Francesco Bianco ◽  
Oriana Barrios ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Coloanal Anastomosis ◽  
Low Rectal Cancer ◽  
Two Stage ◽  
Pull Through

scholarly journals Short stump and high anastomosis pull-through (SHiP) procedure for delayed coloanal anastomosis with no protective stoma for low rectal cancer

2021 ◽  
Vol 73 (2) ◽  
pp. 495-502
Author(s):  
Francesco Bianco ◽  
Paola Incollingo ◽  
Armando Falato ◽  
Silvia De Franciscis ◽  
Andrea Belli ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Coloanal Anastomosis ◽  
Functional Results ◽  
Anal Margin ◽  
Perioperative Mortality ◽  
The Mean ◽  
Pull Through ◽  
Protective Stoma

AbstractDespite advances in coloanal anastomosis techniques, satisfactory procedures completed without complications remain lacking. We investigated the effectiveness of our recently developed ‘Short stump and High anastomosis Pull-through’ (SHiP) procedure for delayed coloanal anastomosis without a stoma. In this retrospective study, we analysed functional outcomes, morbidity, and mortality rates and local recurrence of 37 patients treated using SHiP procedure, out of the 282 patients affected by rectal cancer treated in our institution between 2012 and 2020. The inclusion criterion was that the rectal cancer be located within 4 cm from the anal margin. One patient died of local and pulmonary recurrence after 6 years, one developed lung and liver metastases after 2 years, and one experienced local recurrence 2.5 years after surgery. No major leak, retraction, or ischaemia of the colonic stump occurred; the perioperative mortality rate was zero. Five patients (13.51%) had early complications. Stenosis of the anastomosis, which occurred in nine patients (24.3%), was the only long-term complication; only three (8.1%) were symptomatic and were treated with endoscopic dilation. The mean Wexner scores at 24 and 36 months were 8.3 and 8.1 points, respectively. At the 36-month check-up, six patients (24%) had major LARS, ten (40%) had minor LARS, and nine (36%) had no LARS. The functional results in terms of LARS were similar to those previously reported after immediate coloanal anastomosis with protective stoma. The SHiP procedure resulted in a drastic reduction in major complications, and none of the patients had a stoma.

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