A new technique for pouch making to reduce the chance of leakage and low anterior resection syndrome

Abstract

Leakage from anastomosis site and low anterior resection syndrome are serious complications that may occur after low anterior resection for low rectal cancers. Although surgeons recommended different surgical and medical solutions for decreasing these complications, they are not successful in some cases. We think using the ileal pouch with vascular pedicle instead of devascularised and denervated left colon to anastomosis to anal canal may diminish these two problems. It needs more animal studies and then clinical trials to evaluate this new technique.