Abdominoperineal endoanal pull-through resection

Publisher Website
Google Scholar
Abstract
Abdominoperineal endoanal pull-through resection with colorectal anastomosis was performed on 728 patients, primarily those wiht chagasic megacolon and cancer of the rectum. Intestinal continuity was reestablished through immediate anastomosis (Swenson procedure) in 229 patients and through delayed anastomosis (Cutait-Turnbull procedure) in 499. The incidence of leakage was 31.9% in immediate and only 2.2% in delayed anastomosis; that presacral infection occurred in 27.9% in immediate and in 6.8% in delayed anastomosis; that stenosis was observed in 4.4% in immediate and 1.8% in delayed anastomosis; that mortality was 6.1% in immunidate and 2.2% in delayed anastomosis; that anal continence was good in both procedures and that sexual disturbances were rare in benign and frequent in malignant lesions in both procedures. In abdominoperineal endoanal pull-through resection with colorectal anastomosis, complications and mortality are less frequent in delayed than in immediate anastomosis and continence and sexual behavior are identical in both procedures.

This publication has 3 references indexed in Scilit: