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Related Experiment Videos

Pullthrough operation with delayed anastomosis for rectal cancer

W O Kirwan, R B Turnbull, V W Fazio

    The British Journal of Surgery
    |October 1, 1978
    PubMed
    Summary

    This study reports on pullthrough resection with delayed anastomosis for rectal cancer, demonstrating a 63% 5-year survival rate and effective sphincter conservation for middle-rectum tumors.

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    Area of Science:

    • Colorectal Surgery
    • Surgical Oncology
    • Gastrointestinal Oncology

    Background:

    • Rectal cancer treatment often involves complex surgical procedures.
    • Sphincter preservation is a key goal in treating middle-third rectal cancers.
    • The pullthrough resection with delayed anastomosis technique offers a potential solution.

    Purpose of the Study:

    • To describe the technique of pullthrough resection with delayed anastomosis for rectal cancer.
    • To report outcomes from 84 cases treated at the Cleveland Clinic.
    • To evaluate the efficacy and safety of this surgical approach.

    Main Methods:

    • Retrospective analysis of 84 rectal cancer cases.
    • Surgical technique: pullthrough resection with delayed anastomosis.

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  • Data collected on tumor characteristics, surgical margins, and patient outcomes.

    • Main Results:

    • Average tumor diameter: 4.5 cm; average resection margin: 4.1 cm; average distance from anus: 7.6 cm.
    • Low incidence of pullthrough necrosis (1.2%).
    • Overall 5-year survival: 63% (Dukes' A: 100%, B: 57%, C: 53%).

    Conclusions:

    • Pullthrough resection with delayed anastomosis is a viable option for rectal cancer.
    • The procedure demonstrates good oncological outcomes and acceptable complication rates.
    • This technique is valuable for sphincter conservation in middle-third rectal carcinoma.