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Extended Low Anterior Resection with a Circular Stapler in Patients with Rectal Cancer: a Single Center Experience

  • Talaeezadeh, Abdolhasan (Department of General Surgery, Imam Hospital, Jondishapour University) ;
  • Bahadoram, Mohammad (Medical Student Research Committee and Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences) ;
  • Abtahian, Amin (Department of General Surgery, Imam Hospital, Jondishapour University) ;
  • Rezaee, Alireza (Department of General Surgery, Imam Hospital, Jondishapour University)
  • Published : 2016.01.11

Abstract

Background: to evaluate the outcome of stapled colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma. Materials and Methods: A retrospective study of fifty patients who underwent coloanal anastomoses after extended low anterior resection was conducted at Imam Hospital from September 2007 up to July 2012. Results: The distance of the tumor from anal verge was 3 to 8 cm. Anastomotic leakage developed in 6% of patients and defecation problems in 16%. One-year local recurrence was 6% while three-year local recurrence was 4%. One-year systemic recurrence was seen in 22% while three-year systemic recurrence was seen in 20%. Conclusions: Colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma can be conducted safely.

Keywords

Extended low anterior resection;stapler;rectal cancer;colo-anal anastomoses

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