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[Early postoperative complications after different methods of intestinal reconstruction in deep anterior rectum
1Koloproktologische Klinik, Prosper-Hospital, Akad. Lehrkrankenhaus d. Ruhr-Universität Bochum, Recklinghausen.
Abstract:
For the first period after low anterior resection and total mesorectal excision for rectal cancer, the colonic J-pouch is superior to the straight or lateroterminal anastomosis. Despite the simple technique and short stretch of sutures, the LTA is unsuitable due to the high postoperative morbidity and because the reconstruction functions poorly. If the expected anastomis is below 6 cm from the anal verge, i.e. 4 cm above the sphincter muscle, the colonic J-pouch is recommended.