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Current study aims to analyze the outcomes of j-pouch and side-to-end anastomosis in rectal cancer patients treated with laparoscopic hand-assisted low anterior resection
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Linear cutter-Circular stapler J pouch | Active Comparator | J pouch anal anastomosis after laparoscopic low anterior resection |
|
| Circular stapler Side-to-end anastomosis | Active Comparator | side to end coloanal anastomosis after laparoscopic low anterior resection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Linear cutter-Circular stapler | Device | a 5 to 6 cm-long colonic pouch will be created with a 80 mm linear cutting-closing stapler. The anastomosis of j-pouch will be routinely strengthened with 3:0 vicryl sutures. Then, a pouch to anal anastomosis will be performed |
| Measure | Description | Time Frame |
|---|---|---|
| Short Form 36 Quality of life Questionnaire | Change from baseline scores at 4th, 8th and 12th months after stoma reversal |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complications | 30 days postoperatively | |
| Functional outcome measured with Fecal Incontinence Severity Index | Change from baseline scores at 4th, 8th and 12th months after stoma reversal |
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Inclusion Criteria:
Exclusion Criteria:
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| Circular stapler | Device | a 5 to 6 cm-long colonic segment will be left at the distal part and a side-to-end anastomosis will be performed. |
|
| Functional outcome measured with Sexual Health Inventory | Change from baseline scores at 4th, 8th and 12th months after stoma reversal |
| Functional outcome measured with Overactive Bladder validated 8 scale | Change from baseline scores at 4th, 8th and 12th months after stoma reversal |
| ID | Term |
|---|---|
| D005242 | Fecal Incontinence |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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