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Comparison of the Colonic J-Pouch Versus Side-To-End Anastomosis Following Low Anterior Resection: A Systematic Review and Meta-Analysis.
Am Surg
January 2024
Department of General Surgery, Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands, UK.
Article Synopsis
- This systematic review and meta-analysis aimed to compare the clinical and functional outcomes of side-to-end anastomosis versus colonic J-pouch (CJP) anastomosis after anterior resection for rectal cancer.
- The study included 1,125 patients from eight randomized controlled trials and two observational studies, assessing outcomes such as complications and bowel function.
- Results showed that while most parameters were similar between the two techniques, the side-to-end group had better anal resting pressure two years post-surgery, and further high-quality research is needed to evaluate long-term outcomes.
Comparison of complications and bowel function among different reconstruction techniques after low anterior resection for rectal cancer: a systematic review and network meta-analysis.
World J Surg Oncol
March 2023
Department of Gastrointestinal Surgery, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 152 Aiguo Road, Nanchang, 330006, China.
Background: Anastomosis for gastrointestinal reconstruction has been contentious after low anterior resection of rectal cancer for the past 30 years. Despite the abundance of randomized controlled trials (RCTs) on colon J-pouch (CJP), straight colorectal anastomosis (SCA), transverse coloplast (TCP), and side-to-end anastomosis (SEA), most studies are small and lack reliable clinical evidence. We conducted a systematic review and network meta-analysis to evaluate the effects of the four anastomoses on postoperative complications, bowel function, and quality of life in rectal cancer.
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Department of Gastrointestinal Surgery, Medical University of Silesia, Katowice, Poland.
Right hemicolectomy (RH) is a common procedure for both benign and malignant colic disease. Different anastomotic types are performed during this procedure. To assess the association between anastomotic type and postoperative complications (PC) in patients undergoing RH.
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J Minim Invasive Gynecol
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Endoscopica Malzoni, Center for Advanced Endoscopic Gynecologic Surgery, Avellino, Italy (all authors). Electronic address:
Objective: To show the surgical steps used to perform a totally laparoscopic segmental rectal resection, with intracorporeal anastomosis and transanal natural orifice specimen extraction (NOSE), in a context of deep endometriosis.
Design: Step-by-step video demonstration of the technique.
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Safety and efficacy of side-to-end anastomosis versus colonic J-pouch anastomosis in sphincter-preserving resections: an updated meta-analysis of randomized controlled trials.
World J Surg Oncol
April 2021
Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing, 100044, People's Republic of China.
Background: The application of side-to-end anastomosis (SEA) in sphincter-preserving resection (SPR) is controversial. We performed a meta-analysis to compare the safety and efficacy of SEA with colonic J-pouch (CJP) anastomosis, which had been proven effective in improving postoperative bowel function.
Methods: The protocol was registered in PROSPERO under number CRD42020206764.