Is a Diverting Stoma Always Necessary for a Low Anterior Resection of a Rectal Cancer?

2012 ◽  
pp. 257-259 ◽  
Author(s):  
Geerard L. Beets
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Diverting Stoma

scholarly journals The Role of Diverting Stoma After an Ultra-low Anterior Resection for Rectal Cancer

2013 ◽  
Vol 29 (2) ◽  
pp. 66 ◽  
Author(s):  
Seok In Seo ◽  
Chang Sik Yu ◽  
Gwon Sik Kim ◽  
Jong Lyul Lee ◽  
Yong Sik Yoon ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Diverting Stoma

scholarly journals Risk Factors in Anastomotic Leaks After Low Anterior Resection for Rectal Cancer and the Effects of Diverting Stoma on Clinical Results

2018 ◽  
Vol 28 (3) ◽  
pp. 114-120
Author(s):  
Ebubekir Gündeş ◽  
Durmuş Ali Çetin ◽  
Ulaş Aday ◽  
Hüseyin Çiyiltepe ◽  
Emre Bozdağ ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Clinical Results ◽  
Anastomotic Leaks ◽  
Diverting Stoma

scholarly journals Successful Laparoscopy-assisted Repair of a Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer: A Report of Two Cases

2020 ◽  
Author(s):  
Hiroyuki Ohta ◽  
Kyozo Hashimoto ◽  
Tomoyuki Mizukuro ◽  
Byonggu An ◽  
Yumi Zen ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Connective Tissue ◽  
Surgical Procedures ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Japanese Patients ◽  
Vaginal Repair ◽  
Diverting Stoma ◽  
Double Stapling

Abstract Background: A rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown satisfactory outcomes. We present two consecutive Japanese patients who underwent successful surgery for a RVF after low anterior resection. Case presentation: The patients were a 61-year-old woman and a 64-year-old woman. They were admitted to our hospital with a chief complaint of fecal discharge from the vagina after low anterior resection using the double-stapling technique for rectal cancer. They were diagnosed with RVF. Local surgical procedures, including diverting ileostomy, were unsuccessful in previous hospitals. Therefore, we performed laparoscopy-assisted repair of the RVF. In both the patients, laparoscopically robust pelvic adhesions were dissected, and the sigmoid colon was transected just before the RVF. Thereafter, in combination with a perineal approach, the rectum along with a previous anastomosis and fistula were completely removed. Surgeries were completed after vaginal repair, redo coloanal anastomosis, and interposition of the dissected connective tissue. In both the patients, the postoperative courses were uneventful. They have complained of neither recurrence of any RVF nor fecal incontinence 1 year and 10 months respectively after diverting stoma closure.Conclusions: A laparoscopy-assisted procedure with reanastomosis and interposition of the perineal connective tissue can be an effective treatment for an RVF after low anterior resection for rectal cancer.

scholarly journals THE TRANSANAL REINFORCEMENT OF LOW COLORECTAL ANASTOMOSIS: FIRST EXPERIENCE AND PERSPECTIVES

2016 ◽  
pp. 15-21 ◽  
Author(s):  
M. V. Alekseev ◽  
Yu. A. Shelygin ◽  
E. G. Rybakov
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colorectal Anastomosis ◽  
Careful Selection ◽  
Diverting Stoma ◽  
Selection Of Patients ◽  
Selection Of

AIM. It was to evaluation the effect of using of transanal reinforcement of low colorectal anastomosis to the frequency of anastomotic leakage. MATERIALS AND METHODS. The study included six patients who underwent a low anterior resection for rectal cancer and the transanal reinforcement anastomosis. Preventive stomas not formed. RESULTS. The study contains an analysis of the immediate results of patients treatment. The leakage of the anastomosis was developed in 3 of 6 patents. This required break down of the anastomosis in one and the formation of diverting stoma in two patients. CONCLUSION. The first experience of the transanal reinforcement for low colorectal anastomosis is unsuccessful because of leakage appeared in every second patient. More careful selection of patients for this method is required.

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