J-pouch vs. side-to-end anastomosis after hand-assisted laparoscopic low anterior resection for rectal cancer: A prospective randomized trial on short and long term outcomes including life quality and functional results

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dc.authorid0000-0001-8500-7276
dc.authorid0000-0003-2460-2391
dc.authorid0000-0003-2357-5387
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorAtıcı, Ali Emre
dc.contributor.authorAltuntaş, Yunus Emre
dc.contributor.authorGündoğan, Ersin
dc.contributor.authorGezen, Fazlı Cem
dc.contributor.authorÖncel, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:54Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:54Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000414077500002
dc.descriptionPubMed ID: 28919097
dc.description.abstractPurpose: To analyze the outcomes of j-pouch and side-to-end anastomosis in rectal cancer patients treated with laparoscopic hand-assisted low anterior resection. Methods: Prospective trial on cases randomized to have a colonic j-pouch or a side-to-end anastomosis after low anterior resection. Demographics, characteristics of disease and treatment, perioperative results, and functional outcomes and life quality were compared between the groups. Results: Seventy four patients were randomized. Reservoir creation was withdrawn in 17 (23%) patients, mostly related to reach problem (n = 11, 64.7%). Anastomotic leakage rate was significantly higher in j-pouch group (8 [27.6%] vs. 0, p = 0.004). Stoma closure could not be achieved in 16 (28.1%) patients. Life quality and functional outcomes, measured 4, 8 and 12 months after the stoma reversal, were similar. Conclusions: Colonic j-pouch and side-to-end anastomosis are similar regarding perioperative measures including operation time, rates of postoperative complications, reoperation and 30-day mortality, and hospitalization period except anastomotic leak rate, which is higher in j-pouch group. Postoperative aspects are not different in patients receiving either technique including functional outcomes and life quality for the first year after stoma closure. In our opinion, both techniques may be preferred during the daily practice while performing laparoscopic surgery; but surgeons may be aware of a possibly higher anastomotic leak rate in case of a j-pouch.
dc.identifier.citationOkkabaz, N., Haksal, M., Atıcı, A. E., Altuntaş, Y. E., Gündoğan, E., Gezen, F. C. ... Öncel M. (2017). J-pouch vs. side-to-end anastomosis after hand-assisted laparoscopic low anterior resection for rectal cancer: A prospective randomized trial on short and long term outcomes including life quality and functional results. International Journal of Surgery, 47, 4-12. https://dx.doi.org/10.1016/j.ijsu.2017.09.012
dc.identifier.doi10.1016/j.ijsu.2017.09.012
dc.identifier.endpage12
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.scopusqualityQ1
dc.identifier.startpage4
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijsu.2017.09.012
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2845
dc.identifier.volume47
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bv
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectJ-pouch
dc.subjectRectal Cancer
dc.subjectIleostomy
dc.subjectLife Quality
dc.subjectAnastomosis
dc.titleJ-pouch vs. side-to-end anastomosis after hand-assisted laparoscopic low anterior resection for rectal cancer: A prospective randomized trial on short and long term outcomes including life quality and functional results
dc.typeArticle

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