Colonic J-shaped pouch anastomosis

Low anterior resection can reduce the physical and psychological problems caused by colostomy, but it often causes varying degrees of fecal incontinence, never pay attention to and can not control gas incontinence to obvious fecal incontinence; from the bowel movement, the number of defecation increases Some people call this "pre-excision syndrome." In 1986, the French Lazorthes and Parc reported that the colon anal anastomosis was performed with a J-shaped pouch after the lower anterior resection. The J-shaped pouch can reduce the severity of some anterior resection syndrome symptoms. Treatment of diseases: colorectal cancer and rectal cancer Indication Colon J-shaped pouch anastomosis is suitable for: The J-shaped anastomosis is more suitable than the anal margin of 4 to 8 cm, especially less than 4 cm. If the sphincter tension is normal, age is not a contraindication to pouch anastomosis. Contraindications 1. The anal canal sphincter has been impaired by tumor invasion. 2. The tumor is located at the tip of the anorectal ring, so the pelvic tumor cannot be completely removed. 3. Pelvic stenosis and short colon. Surgical procedure The preparation of the colon pouch can be carried out with a 7.5 cm side-side stapler, and the length is 5 to 10 cm. It is generally considered that the 5 cm pouch is the best because there is less chance of difficulty in emptying the small pouch. Colon anal anastomosis can be accomplished with a double staple technique using a linear stapler or a tubular stapler. complication 1. Anastomotic leakage. 2. Anastomotic stenosis. 3. Recurrence.