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.authoridAtıcı, Ali Emre/0000-0001-5094-0461
dc.authoridOkkabaz, Nuri/0000-0001-8962-2057
dc.authorwosidGundogan, Ersin/AFE-0184-2022
dc.authorwosidAtıcı, Ali Emre/AAW-3537-2020
dc.authorwosidOkkabaz, Nuri/U-4054-2019
dc.authorwosidÖncel, Mustafa/AAP-3650-2020
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorAtici, Ali Emre
dc.contributor.authorAltuntas, Yunus Emre
dc.contributor.authorGundogan, Ersin
dc.contributor.authorGezen, Fazli Cem
dc.contributor.authorOncel, Mustafa
dc.date.accessioned2024-08-04T20:44:00Z
dc.date.available2024-08-04T20:44:00Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
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 Reservoir creation was withdrawn in 17 (23%) patients, mostly related to reach problem (n = 11, 64.7%).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. (C) 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijsu.2017.09.012
dc.identifier.endpage12en_US
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.pmid28919097en_US
dc.identifier.scopus2-s2.0-85029576962en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage4en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2017.09.012
dc.identifier.urihttps://hdl.handle.net/11616/97970
dc.identifier.volume47en_US
dc.identifier.wosWOS:000414077500002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectJ-pouchen_US
dc.subjectRectal canceren_US
dc.subjectIleostomyen_US
dc.subjectLife qualityen_US
dc.subjectAnastomosisen_US
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 resultsen_US
dc.typeArticleen_US

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