Resource Colorectal Anastomoses

Authors

  • Ricardo Rocha Serviço de Cirurgia Geral, Hospital Professor Doutor Fernando Fonseca, Portugal
  • Antonio Soares Serviço de Cirurgia Geral, Hospital Professor Doutor Fernando Fonseca, Portugal
  • P. Azevedo Serviço de Cirurgia Geral, Hospital Professor Doutor Fernando Fonseca, Portugal
  • F. Almeida Serviço de Cirurgia Geral, Hospital Professor Doutor Fernando Fonseca, Portugal
  • C. Carneiro Serviço de Cirurgia Geral, Hospital Professor Doutor Fernando Fonseca, Portugal

DOI:

https://doi.org/10.34635/rpc.997

Keywords:

anastomoses, colorectal

Abstract

Introduction: There are situations in which the colorectal surgeon finds serious issues related to colorectal anastomosis.
Materials and methods: We have performed a narrative review of the literature regarding different surgical techniques purposed for difficult or complicated colorectal anastomosis.
Results and discussion: Intraoperative problems and surgical complications often lead colorectal surgeons to difficult colorectal anastomosis, having to use surgical techniques as enhancing colonic mobilization, improving rectal stump exposure, as well as coloanal anastomosis and invaginated or delayed anastomosis.
Conclusion: Colorectal surgeons should have the technical capability to solve difficulties related to complicated colorectal anastomosis.

Downloads

Download data is not yet available.

References

1. Pitel S, Lefèvre JH, Tiret E, Chafai N, Parc Y. Redo colo-anal anastomosis: a retrospective study of 66 patients. Ann Surg. 2012 Nov;256(5):806-10; discussion 810-1. doi: 10.1097/SLA.0b013e318272de70. PMID: 23095625.
2. Young J, Brown LR, Thomas CLG, McCallum IJD, McLean RC. The impact of surgical subspecialization on patient outcomes following emergency colorectal resections in the north of England: a retrospective cohort study. Colorectal Dis. 2021 Jan;23(1): 284-297. doi: 10.1111/codi.15387. Epub 2020 Oct 28. PMID: 33002261.
3. Rombeau JL, Collins JP, Turnbull RB Jr. Left-sided colectomy with retroileal colorectal anastomosis. Arch Surg. 1978 Aug;113(8): 1004-5. doi: 10.1001/archsurg.1978.01370200098020. PMID: 687079.
4. Sciuto A, Grifasi C, Pirozzi F, Leon P, Pirozzi RE, Corcione F. Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results. Tech Coloproctol. 2016 Dec;20(12):865-869. doi: 10.1007/s10151-016-1562-z. Epub 2016 Dec 7. PMID: 27928685.
5. Kontovounisios C, Baloyiannis Y, Kinross J, Tan E, Rasheed S, Tekkis P. Modified right colon inversion technique as a salvage procedure for colorectal or colo-anal anastomosis. Colorectal Dis. 2014 Dec;16(12):971-5. doi: 10.1111/codi.12784. PMID: 25243891.
6. Manceau G, Karoui M, Breton S, Blanchet AS, Rousseau G, Savier E, Siksik JM, Vaillant JC, Hannoun L. Right colon to rectal anastomosis (Deloyers procedure) as a salvage technique for low colorectal or colo-anal anastomosis: postoperative and long-term outcomes. Dis Colon Rectum. 2012 Mar;55(3):363-8. doi: 10.1097/DCR.0b013e3182423f83. PMID: 22469806.
7. Ferrara BE. Colorectal anastomosis by invagination. Dis Colon Rectum. 1966 Mar-Apr;9(2):113-5. doi: 10.1007/BF02617311. PMID: 5325425.
8. Li SY, Chen G, Bai X, et al. Anus-preserving rectectomy via telescopic colorectal mucosal anastomosis for low rectal cancer: experience from a Chinese cohort. World J Gastroenterol. 2013;19(24):3841-3846. doi:10.3748/wjg.v19.i24.3841.
9. Bing X, Sun C, Wang Z, et al. Transanal pullthrough Soave and Swenson techniques for pediatric patients with Hirschsprung disease. Medicine (Baltimore). 2017;96(10):e6209. doi:10.1097/MD.0000000000006209
10. Zhang W, Che X. Effect of indocyanine green fluorescence angiography on preventing anastomotic leakage after colorectal surgery: a meta-analysis. Surg Today. 2021 Jan 11. doi: 10.1007/s00595-020-02195-0. Epub ahead of print. PMID: 33428000.
11. Däster S, Xiang H, Yang J, Rowe D, Keshava A, Rickard MJFX. High prevalence of asymptomatic internal hernias after laparoscopic anterior resection in a retrospective analysis of postoperative computed tomography. Int J Colorectal Dis. 2020 May;35(5):929-932. doi: 10.1007/s00384-020-03537-7. Epub 2020 Feb 24. PMID: 32095872.
12. TURNBULL RB Jr, CUTHBERTSON A. Abdominorectal pull-through resection for cancer and for Hirschsprung’s disease. Delayed posterior colorectal anastomosis. Cleve Clin Q. 1961 Apr;28:109-15. doi: 10.3949/ccjm.28.2.109. PMID: 13778709.
13. CUTAIT DE, FIGLIOLINI FJ. A new method of colorectal anastomosis in abdominoperineal resection. Dis Colon Rectum. 1961 Sep-Oct;4:335-42. doi: 10.1007/BF02627230. PMID: 13882795.
14. Biondo S, Trenti L, Espin E, et al. Two-Stage Turnbull-Cutait Pull-Through Colo-anal Anastomosis for Low Rectal Cancer: A Randomized Clinical Trial. JAMA Surg. 2020;155(8):e201625. doi:10.1001/jamasurg.2020.1625
15. Lin SY, Ow ZGW, Tan DJH, Tay PWL, Lim SY, Xiao J, Wong NW, Wong KY, Foo FJ, Chong CS. Delayed colo-anal anastomosis as a stoma-sparing alternative to immediate colo-anal anastomosis: A systematic review and meta-analysis. ANZ J Surg. 2021 May 24. doi: 10.1111/ans.16964. Epub ahead of print. PMID: 34031967.
16. Jones DW, Dimitrova M, Nandakumar G. Colonic salvage with antiperistaltic cecorectal anastomosis. Dis Colon Rectum. 2015 Feb;58(2):270-4. doi: 10.1097/DCR.0000000000000306. PMID: 25585090.

Published

2024-08-15

Most read articles by the same author(s)