الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
Surgery of rectal cancer should aim at providing satisfactory quality of life early postoperatively. Because the rate of occurrence of local relapses and long-term survival rates are similar for sphincter preserving procedures compared with abdominoperineal resection, low anterior resection has become the more accepted procedure for treatment of low rectal cancers. Low postoperative morbidity and good defecation quality early after rectal reconstruction by means of a reservoir construction are essential conditions for a good quality of life.
This study was carried out on thirty patients diagnosed to have a rectal cancer with its distal margin lying between 4-8 centimeters from the anal verge, aiming to assess the functional outcome of colonic J-pouch compared with coloplasty after low anterior resection.
Patients included in this study were all staged as stage A, B and C1 according to Astler and Coller staging system. The patients were divided equally into two groups, one for the J-pouch and the other for the transverse coloplasty construction. The mean distance of the pouch anal anastomosis was 4.40±0.63 and 4.40±0.83 cm from the anal verge, for the J-pouch and coloplasty respectively. Double stapling technique was used for the anastomosis in 76.67% of the patients in both groups. While hand sewn technique was used for the rest of the patients (23. 33%) in whom the tumor was relatively high (8 cm from the anal verge).
All intraoperative complications were managed. Intra-operative leak occurred in 13.34% and in 20% of the patients of J-pouch and coloplasty respectively.