Anastomotic leakage and functional outcomes following total mesorectal excision with delayed and immediate colo-anal anastomosis for rectal cancer: Two single-arm phase II trials.

Date publication

novembre 2023

Journal

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

Auteurs

Membres identifiés du Cancéropôle Est :
Pr MARCHAL Frédéric

Tous les auteurs :
Evrard S, Bellera C, Desolneux G, Cantarel C, Toulza E, Faucheron JL, Rivoire M, Dupré A, Mabrut JY, Bresler L, Marchal F, Bouriez D, Rullier E

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/37949519

Résumé

Anastomotic leakage (AL) remains a major cause of morbidity following total mesorectal excision (TME). A diverting ileostomy reduces the risk of AL but impairs quality of life (QoL). Delayed colo-anal anastomosis (DCAA) may be an alternative to immediate colo-anal anastomosis (ICAA) without creation of a diverting ileostomy.

Mots clés

Anastomotic fistulae, Coloanal anastomosis, Delayed coloanal anastomosis, Derivative stoma, Rectal carcinoma, Total mesorectal excision

Référence

Eur J Surg Oncol. 2023 11;49(11):107015