Is delayed colo-anal anastomosis an alternative to prophylactic diverting stoma after total mesorectal excision for middle and low rectal carcinomas?

J. Jarry (1) , J.L. Faucheron (2) , W. Moreno (2) , C.A. Bellera (3) , S. Evrard (1)

1 Université Bordeaux Segalen - Bordeaux 2
2 UGA [2016-2019] - Université Grenoble Alpes [2016-2019]
3 Plateforme de génétique moléculaire des cancers d'Aquitaine

After total mesorectal excision (TME), a low colorectal or colo-anal anastomosis is usually performed. A prophylactic covering stoma is often used, especially for patients receiving neoadjuvant chemo-radiotherapy. However, morbidity is high, mainly due to anastomotic leakage.

Mots clés: diverting stoma; rectal cancer; delayed colo-anal anastomosis; fistula; proctectomy; total mesorectal excision

J. Jarry, J.L. Faucheron, W. Moreno, C.A. Bellera, S. Evrard. Is delayed colo-anal anastomosis an alternative to prophylactic diverting stoma after total mesorectal excision for middle and low rectal carcinomas?. EJSO - European Journal of Surgical Oncology, 2011, 37 (2), pp.127. ⟨10.1016/j.ejso.2010.12.008⟩. ⟨hal-00663075⟩