A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]

A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos] Publisher

Alibakhshi A¹ ; Jahangiri Y¹ ; Sirati F¹ ; Jalali SM¹ ; Nikdad MS¹ ; Abbasi A¹ ; Afarideh M¹

Show Affiliations

1. Department of General Surgery, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Coloproctology Published:2016

Abstract

Background and aims: To describe a practical technique innovation (transanal ‘Pull-through’ approach) as a feasible, safe and effective alternative to the conventional transabdominal stapler low rectal anastomosis in lesions of minimal anatomical distinction from the adjacent intact mucosa. Material and methods: Prospective case-series of patients with low rectal cancers, familial adenomatous polyposis (FAP) and ulcerative colitis undergoing Pull-through transection and very low rectal anastomosis using linear TA-90 noncutting stapler and circular stapler-cutter. Results: In this series, twenty patients (11 men and 9 women) underwent proctectomy by the transanal Pull-through technique. Barring one of the patients that developed a pelvic abscess in the immediate postop follow-up, surgical procedure and the long-term followup period was uncomplicated with no critical findings of leakage, stenosis and bleeding. The postop rate of infection and fecal incontinence was not significantly different between genders and different age groups of the study. The mean operative time was calculated 169.9 ± 11.1 minutes. Conclusion: Pull-through transection procedure using the TA-90 non-cutting stapler is a safe, efficient and economically sound technique implicated in low-lying rectal lesions. The transanal ‘Pull-through’ approach is particularly helpful in situations where the direct visualization of lower rectal mucosa changes the prognosis through determining the marginal extent of intact/involved mucosa (e.g., FAP, villous adenomas, rectal polyps and postneoadjuvant chemoradiotherapy tumors). © 2016 Sociedade Brasileira de Coloproctologia. Published by Elsevier Editora Ltda.

Style	Citing Format
MLA	Alibakhshi A, et al.. "A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]." Journal of Coloproctology, vol. 36, no. 2, 2016, pp. 80-85.
APA	Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, Afarideh M (2016). A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]. Journal of Coloproctology, 36(2), 80-85.
Chicago	Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, Afarideh M. "A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]." Journal of Coloproctology 36, no. 2 (2016): 80-85.
Harvard	Alibakhshi A et al. (2016) 'A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]', Journal of Coloproctology, 36(2), pp. 80-85.
Vancouver	Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, et al.. A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]. Journal of Coloproctology. 2016;36(2):80-85.
BibTex	@article{ author = {Alibakhshi A and Jahangiri Y and Sirati F and Jalali SM and Nikdad MS and Abbasi A and Afarideh M}, title = {A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]}, journal = {Journal of Coloproctology}, volume = {36}, number = {2}, pages = {80-85}, year = {2016} }
RIS	TY - JOUR AU - Alibakhshi A AU - Jahangiri Y AU - Sirati F AU - Jalali SM AU - Nikdad MS AU - Abbasi A AU - Afarideh M TI - A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos] JO - Journal of Coloproctology VL - 36 IS - 2 SP - 80 EP - 85 PY - 2016 ER -

Style

Citing Format

MLA

Alibakhshi A, et al.. "A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]." Journal of Coloproctology, vol. 36, no. 2, 2016, pp. 80-85.

APA

Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, Afarideh M (2016). A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]. Journal of Coloproctology, 36(2), 80-85.

Chicago

Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, Afarideh M. "A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]." Journal of Coloproctology 36, no. 2 (2016): 80-85.

Harvard

Alibakhshi A et al. (2016) 'A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]', Journal of Coloproctology, 36(2), pp. 80-85.

Vancouver

Alibakhshi A, Jahangiri Y, Sirati F, Jalali SM, Nikdad MS, Abbasi A, et al.. A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]. Journal of Coloproctology. 2016;36(2):80-85.

BibTex

@article{ author = {Alibakhshi A and Jahangiri Y and Sirati F and Jalali SM and Nikdad MS and Abbasi A and Afarideh M}, title = {A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]}, journal = {Journal of Coloproctology}, volume = {36}, number = {2}, pages = {80-85}, year = {2016} }

RIS

TY - JOUR
AU - Alibakhshi A
AU - Jahangiri Y
AU - Sirati F
AU - Jalali SM
AU - Nikdad MS
AU - Abbasi A
AU - Afarideh M
TI - A Novel Approach to Lower Rectal Anastomosis: Technique Innovation and the Preliminary Report of Twenty Cases; [Uma Nova Abordagem Para a Anastomose Retal Mais Baixa: Inovacao Tecnica E Relatorio Preliminar De Cinte Casos]
JO - Journal of Coloproctology
VL - 36
IS - 2
SP - 80
EP - 85
PY - 2016
ER -

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Abstract