End-To-End versus Side-To-End Colorectal Anastomosis for Laparoscopic Low Anterior Resection; a Prospective Comparative Study | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 1, January 2025, Pages 365-378 PDF (1 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2024.317116.1184 | ||
| Authors | ||
| Mohamed Hassan A. Taha* ; Mohamed Ali Nada; Kareem Kamel; Ahmed A. Abdelshafy | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| Background: The increasing emphasis on sphincter-preserving procedures for rectal pathology has led to advancements in surgical techniques, including trans-anal complete mesorectal excision, low anterior resection (LAR), and ultra-low anterior resection. These innovations, supported by technological developments in surgical instruments, facilitate improved visualization and mobilization during rectal surgeries, allowing better adherence to surgical standards.*Aim of the Work:* This study aims to compare the postoperative outcomes and complications associated with end-to-end versus side-to-end colorectal anastomosis in patients undergoing laparoscopic low anterior resection. Patients and Methods: A prospective comparative study was conducted involving 40 patients diagnosed with low rectal cancer at Ain-Shams University hospitals. Participants were divided into two groups: Group A (23 patients) underwent laparoscopic low anterior resection with end-to-end colorectal anastomosis, while Group B (17 patients) underwent side-to-end colorectal anastomosis. Results: The study found that Group A exhibited significantly shorter anastomotic and operative times compared to Group B (P < 0.001). Additionally, Group A reported significantly higher urgency of defecation at 12 months post-surgery compared to Group B (P=0.018). However, all other comparative measures yielded statistically insignificant results. Conclusion: The findings suggest that both surgical techniques yield comparable outcomes, with Group A demonstrating faster operation times but a slight increase in long-term urgency of defecation. Conversely, Group B may offer better functional outcomes despite a longer operation duration. These results underscore the need for personalized surgical approaches based on patient needs and preferences. | ||
| Keywords | ||
| anastomosis; bowel; resection; laparoscopic | ||
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