Rectal Neoplasms Clinical Trial
Official title:
Short and Midterm Results of Delayed Colo-anal Anastomosis After Rectal Resection
After rectal resection for cancer of the lower rectum, the restoration of continuity is done
by a colo-anal anastomosis with a protective ileostomy. However, the ileostomy is very little
accepted by patients. It is associated with significant morbidity and a deterioration in the
quality of life.
Delayed colo-anal anastomosis has been proposed as an alternative to direct colo-anal
anastomosis with a protective ileostomy. The theoretical advantage of this technique is to
reduce the risk of anastomotic leaks and to avoid ileostomy.
In this study, the investigators will retrospectively evaluate the short and midterm results
of this technique.
After rectal resection for cancer of the lower rectum, the restoration of continuity is done
by a colo-anal anastomosis with a protective ileostomy. The latter reduces the risk and
severity of clinical anastomotic fistulas. However, the ileostomy is very little accepted by
patients. It is associated with significant morbidity reaching up to 30% of patients, a
deterioration in the quality of life and the need for a second surgery to restore digestive
continuity. And specifically in low-income countries, ostomy bags are expensive and are not
reimbursed, and therefore constitute a heavy burden for Moroccan patients.
In order to overcome these drawbacks, delayed colo-anal anastomosis has been proposed as an
alternative to direct colo-anal anastomosis with a protective ileostomy. This technique
consists of externalizing the colon in the first stage by the transanal route, without
creating an ileostomy, and waiting a week for the creation of the anastomosis. The
theoretical advantage of this technique is to reduce the risk of anastomotic leaks and to
avoid ileostomy. Several studies have shown encouraging results in the short and midterm, and
it is listed among the technical options in the French recommendations for the management of
rectal cancer.
In this study, the investigators will retrospectively evaluate the short and midterm results
of this technique.
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