Better functional outcome provided by short-armed sigmoid colon-rectal side-to-end XXXX after laparoscopic low anterior resection: a match-paired retrospective study from China.

@entity1 @entity322 @entity5 @entity254 @entity29 @entity7261
PURPOSE: Side-to-end @entity254 using the descending colon has been proved to be as effective as J pouch in alleviating low anterior resection syndrome. However, using the sigmoid colon, which is less compliant for reconstruction after @entity5 surgery, is common in China due to less prevalence of @entity7261 . The effectiveness of using the sigmoid colon for a side-to-end colorectal @entity254 in improving @entity29 after laparoscopic low anterior resection of @entity5 has not been investigated. This study was designed to compare the functional and surgical outcomes between the two anastomoses. METHODS: From October 2007 to December 2008, 16 @entity5 @entity1 underwent laparoscopic low anterior resection with short-armed (length of side limb 2-4 cm) side-to-end sigmoidorectal @entity254 at our department. The bowel functional results of these @entity1 at 6 months and 1 year postoperatively were recorded and compared with that of another 1:2 matched 30 @entity1 undergoing straight @entity254 . RESULTS: Bowel movement frequency in the side-to-end group was obviously less than that in the straight group 6 months postoperatively. @entity1 in the side-to-end group also had an improved @entity322 score, a better ability to defer defecation, and less repeated evacuation. No differences were found between two groups 1 year after surgery. CONCLUSION: The study shows that the short-armed side-to-end colorectal @entity254 using the sigmoid colon can also improve the short-term bowel function in @entity1 undergoing laparoscopic low anterior resection.
