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Creation of Colonic Anastomosis in Mice
Published on: January 17, 2019
[Application of sigmoid coloplasty in super-lower anastomosis]
Zhi-xiang Zhou1, Yong-fu Shao, Ping Zhao
1Department of General Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China. zhouzx01@yahoo.com.cn
Objective:
To assess the clinical value of sigmoid coloplasty of super-lower anastomosis.
Methods:
Thirty-five patients underwent sigmoid coloplasty (treatment group), while 33 patients received straight sigmoidorectostomy (control group). Complication rate and anal function were observed and compared between the two groups.
Results:
The complication rate was 17.1% and 21.2% in the study group and control group respectively (P> 0.05). Average stool frequency were 2 times (1-5.5 times) a day in the study group and 3.5 times (1-9 times) a day in the control group 12 months after operation (P< 0.01). The fecal continence and self-satisfaction were improved significantly in the study group than that of the control group(P< 0.01, respectively). The postoperative anal function score was 2.57 in the study group and 7.21 in the control group, there was significant difference between the two groups (P< 0.01).
Conclusions:
Compared with straight sigmoidorectostomy, sigmoid coloplasty applied in super-lower anastomosis can significantly improve the recovery of anal function without increasing complication rates.
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