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Current Common Dilemmas in Colorectal Surgery pp 313–325Cite as

Optimal Coloanal Reconstruction: J-pouch, Straight, Stapled, and Hand Sewn

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Abstract

Creation of a coloanal anastomosis is a technically challenging procedure with potential morbidity. Knowledge of the literature is important as surgeons who perform proctectomy should combine clinical judgment with evidence-based literature on coloanal anastomoses to determine the most appropriate anastomotic approach for each patient. This chapter will outline the different sphincter-preserving coloanal anastomotic techniques as well as discuss stapled and hand-sewn anastomoses. Moreover, it will review the different outcomes such as postoperative morbidity and bowel function for each technique by comparing them to see which approach is best.

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Andrea M. Petrucci & Steven D. Wexner

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  1. Andrea M. Petrucci
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  2. Steven D. Wexner
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Correspondence to Steven D. Wexner .

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Editors and Affiliations

  1. London Health Sciences Centre, University Hospital, London, Ontario, Canada

    Christopher M. Schlachta

  2. Mount Sinai School of Medicine, New York, New York, USA

    Patricia Sylla

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Petrucci, A.M., Wexner, S.D. (2018). Optimal Coloanal Reconstruction: J-pouch, Straight, Stapled, and Hand Sewn. In: Schlachta, C., Sylla, P. (eds) Current Common Dilemmas in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-70117-2_28

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  • DOI: https://doi.org/10.1007/978-3-319-70117-2_28

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-70117-2

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