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[Continence in low resections]

G Rosa1, S Girardi, P Lolli

  • 1Facoltà di Medicina e Chirurgia, Istituto di Patologia Chirurgica, Università degli Studi di Verona.

Chirurgia Italiana
|January 1, 1994
PubMed
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Low anterior resection (LAR) for rectal cancer may not impact fecal continence. Studies show that restoring bowel continuity after LAR, even with low anastomosis, preserves anorectal function and continence.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Anorectal function is a significant concern following low anterior resection (LAR).
  • Maintaining bowel continuity and fecal continence is crucial for patient quality of life after rectal surgery.

Purpose of the Study:

  • To evaluate the impact of low anterior resection on anorectal function and fecal continence.
  • To assess the outcomes of different surgical techniques for bowel continuity restoration after LAR.

Main Methods:

  • A clinical and manometric study was conducted on 14 patients who underwent low anterior resection.
  • Bowel continuity was restored using either colon-anal anastomosis (Parks Operation) or colo-rectal anastomosis at the anorectal ring level.

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Main Results:

  • The study included 14 patients undergoing low anterior resection.
  • Bowel continuity was successfully restored in all cases.
  • Clinical and manometric assessments were performed pre- and post-operatively.

Conclusions:

  • Low anterior resection does not necessarily compromise fecal continence.
  • Surgical restoration of bowel continuity, even with low anastomosis, can preserve anorectal function.