COMPARISON OF RECTAL STUMP CLOSURE METHODS FOR MECHANICAL ANASTOMOSIS IN RECTAL CANCER
Abstract:
Is mechanical suturing of the rectal stump safer than manual suturing for mechanical anastomosis in rectal cancer? Materials and methods: In order to answer this question, we conducted a prospective observational interventional study in 85 patients with rectal cancer, divided into two groups: group A, in which mechanical suturing of the rectal stump was performed (36 patients) and group B, which underwent manual enterorrhaphy (49 patients). Results: Linear staplers are used in lower rectal tumour resection in 69.44% of the patients. Their use reduces the operative time by 15 minutes ± 4 minutes and eliminates the septic time. At 12 months postoperatively, these patients recover a normal lifestyle: 2 stools/day (75%), defecation delayed by 45 minutes (63.89%), and complete gas continence (80.56%). Conclusion: Mechanical suturing of the rectal stump is safe for the patient by saving the sphincter and improving quality of life.
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