Open AccessIleocecal Reservoir Reconstruction with Physiologic Function After Total Mesorectal Cancer Excision
Author(s) -
Marcus O. von Flüe,
Lukas Degen,
C Beglinger,
A C Hellwig,
J M Rothenbühler,
F. Harder
Publication year - 1996
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-199608000-00014
Subject(s) - medicine , total mesorectal excision , colorectal cancer , cancer , surgery
After proctectomy for low rectal cancer and straight coloanal reconstruction, the main causes for increased daily stool frequency, urgency, and incontinence are the limited capacity and distensibility of the anastomosed colic segment in the pelvis. The authors postulated that a pedunculated (preserving the nerve) ileocecal interpositional graft (cecum-reservoir) placed between the sigmoid colon and the anal canal would greatly reduce these inconveniences.