J-pouch vs. side-to-end anastomosis after hand-assisted laparoscopic low anterior resection for rectal cancer: A prospective randomized trial on short.

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Presentation transcript:

J-pouch vs. side-to-end anastomosis after hand-assisted laparoscopic low anterior resection for rectal cancer: A prospective randomized trial on short and long term outcomes including life quality and functional results Nuri Okkabaz, Mustafa Haksal, Ali Emre Atici, Yunus Emre Altuntas, Ersin Gundogan, Fazli Cem Gezen, Mustafa Oncel International Journal of Surgery Volume 47, Pages 4-12 (November 2017) DOI: 10.1016/j.ijsu.2017.09.012 Copyright © 2017 Terms and Conditions

Fig. 1 Configuration of colonic j-pouch: an incision is created on the antimesenteric side of the colon at 6–7 cm from the distal edge (A), a 4–6 cm long anastomosis is constructed with a linear stapler (B), the tip of j is closed with hand-sewn sutures or stapler (C), and a leak test is performed while the pouch is pumped with the saline up (D). International Journal of Surgery 2017 47, 4-12DOI: (10.1016/j.ijsu.2017.09.012) Copyright © 2017 Terms and Conditions

Fig. 2 CONSORT flow diagram on enrollment of patients into the study. International Journal of Surgery 2017 47, 4-12DOI: (10.1016/j.ijsu.2017.09.012) Copyright © 2017 Terms and Conditions

Fig. 3 Changes in mean Physical Component Score (PCS) scores within groups during the study period. International Journal of Surgery 2017 47, 4-12DOI: (10.1016/j.ijsu.2017.09.012) Copyright © 2017 Terms and Conditions

Fig. 4 Changes in mean Mental Component Score (MCS) scores within groups during the study period. International Journal of Surgery 2017 47, 4-12DOI: (10.1016/j.ijsu.2017.09.012) Copyright © 2017 Terms and Conditions