Sedef KURAN, Mehmet Ayhan KUZU, Ayhan Bülent ERKEK, Gökçe AYLAZ, Erkinbek ORAZOKUNOV, Attila TÖRÜNER, Can ATEL, Mustafa BERKELO?LU, Semih BASKAN

Anterior Rezeksiyonlarda Anastomoz İçin Kullan lan Staplerin ÇeLitli Uygulama Şekillerinin Postoperatif Anal Fonksiyonlar

Sonuç: Dilatör kullan lan grupta (Grup 2) anorektal parametrelerin nispeten daha iyi korunmuL olmas n n muhtemel nedeni sabit bir dilatörün anal kanala yerleLtirilmesi ile tüm anal kanala eLit oranda kuvvetin, daha standart bir yöntemle uygulanm L olmas olarak düLünülmüLtür. Dairesel stapler çap na uygun ve daha küçük çaptaki dilatörler kullan larak geniL hasta serileriyle oluLturulan, benzer Lekilde düzenlenmiL randomize, prospektif, klinik çal Lmalarla daha iyi sonuçlar elde edilebilece?i düLü- nülmüLtür

Effect of Different Stapler Insertion Technique on Anal Function in Patients Who Undergoing Anterior Resection With Stapled Anastomosis

Conclusion: Anorectal manometric parameters were preserved better in the dilator group (Group 2). Better outcome in the Group 2 was probably dealt with dilator which reflects to force equally, balanced and standardized on the anal canal. The smaller size and appropriate dilator could be used for best clinical outcome in which wider patients were obtained as similarly this randomized, prospective study

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1. Bhangu A, Kiran RP, Slesser A, et al. Survival after resection of colorectal cancer based on anatomical segment of involvement. Ann Surg Oncol. 2013;20:4161-4168.
2. Ho Y-H, Low D, Goh H-S. Bowel function survey after segmental colorectal resections. Dis Colon Rectum 1996;39:307-310.
3. Heald RJ, Moran BJ, Ryall RDH, et al. The Basingstoke Experience of Total Mesorectal Excision, 1978-1997. Arch Surg. 1998;133:894-898.
4. Shrikhande SV, Saoji RR, Barreto SG, et al. Outcomes of resection for rectal cancer in India: The impact of the double stapling technique. World J of Surg Oncology 2007,5:35.
5. Luke M, Kirkegaard P, Lendorf A, et al. Pelvic Recurrence Rate After Abdominoperineal Resection and Low Anterior Resection for Rectal Cancer Before and After Introduction of the Stapling Technique. World J. Surg. 1983;7:616-619.
6. Winter DC, Murphy A, Kell MR, et al. Perioperative Topical Nitrate and Sphincter Function in Patients Undergoing Transanal Stapled Anastomosis: A Randomized, Placebo-Controlled, Double-Blinded Trial. Dis Colon Rectum 2004;47:697-703.
7. Ho YH, Tan M, Leong A, et al. Anal pressures impaired by stapler insertion during colorectal anastomosis: a randomized controlled trial. Dis Colon Rectum 1999;42:89-95.
8. Nakahara S, Itoh H, Mibu R, et al. Clinical and Manometric Evaluation of Anorectal Function Following Low Anterior Resection with Low Anastornotic Line Using an EEA Stapler for Rectal Cancer. Dis Colon Rectum 1988;31:762-766.
9. Jiang JK, Lin JK. Anorectal dysfunction following low anterior resection for rectal carcinoma: A comparison between handsewn and stapled anastomosis. Colorectal Disease 1999;1:73-79.
10. Farouk R, Duthie GS, Lee PWR, et al. Endosonographic evidence of injury to the internal anal sphincter after low anterior resection: long-term follow-up. Dis Colon Rectum 1998;41:888-891.
11. Fantina AC, Hetzerb FH, Christa AD, et al. Influence of stapler haemorrhoidectomy on anorectal function and on patients' acceptance. Swiss Med Weekly 2002;132:38-42.
12. Ho YH, Seow-Choen F, Tsang C, et al. Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy. Br J of Surg 2001;88:1449-1455.
13. Altomare DF, Rinaldi M, Sallustio PL, et al. Long-term effects of stapled haemorrhoidectomy on internal anal function and sensitivity. Br J Surg 2001;88:1487-1491.
14. Mlakar B, Kosorok P. Complications and results after stapled haemorrhoidopexy as a day surgical procedure. Tech Coloproctol 2003;7:164-168.
15. Williamson MER, Lewis WG, Holdsworth PJ, et al. Decrease in the anorectal pressure gradient after low anterior resection of the rectum A study using continuous ambulatory manometry. Dis Colon Rectum 1994;37:1228-1231.
16. Di Matteo G, Mascagni D, Zeri KP, et al. Evaluation of anal function after surgery for rectal cancer. Journal of Surgical Oncology 2000, Vol:74, Issue:1, 11-14.
17. Rasmussen OO, Petersen IK, Christiansen J. Anorectal function following low anterior resection. Colorectal Disease 2003;5:258-261. 18. Molloy RG, Moran KT, Coulter J, et al. Mechanism of sphincter impairment following low anterior resection. Dis Colon Rectum 1992;35;462-464.
19. Nakada I, Kawasaki S, Sonoda Y, et al. Abdominal stapled side-to-end anastomosis(Baker type) in low and high anterior resection: experiences and results in 69 consecutive patients at a regional general hospital in Japan. Colorectal Disease 2004;6:165-170.
20. Khoury DA, Opelka FG. Anoscopicassisted insertion of end-to-end anastomosing staplers. Dis Colon Rectum; 1995;38:553-554.
21. Guweidhi A, Steffen R, Metzger A, et al. Circular Stapler Introducer: A Novel Device to Facilitate Stapled Colorectal Anastomosis. Dis Colon Rectum 2009;52:746- 748.
22. Limbert M, De Almeida JM. Colorectal Anastomosis After Laparoscopic Low Anterior Resection with Total Mesorectal Excision: A Difficult Problem Made Simple. Dis Colon Rectum 2009;52:2048- 2050.
23. Pietsch AP, Fietkau R, Klautke G, et al. Effect of neoadjuvant chemoradiation on postoperative fecal continence and anal sphincter function in rectal cancer patients. Int J Colorectal Dis 2007;22:1311- 1317.
24. Welsh FKS, McFall M, Mitchell G, et al. Pre-operative short-course radiotherapy is associated with faecal incontinence after anterior resection. Colorectal Disease 2003; Vol 5, Issue 6: 563-568.