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Anal colic anastomosis

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Sphincter-saving operations are now generally accepted for the treatment of mid-rectal cancers. Many techniques have been described: low colorectal anastomosis, pull-through procedures, and colo-anal anastomosis. The functional results following these operations are impaired by loss of the reservoir function of the rectum. In order to improve these results, a modification of Parks' colo-anal anastomosis is proposed.
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Resection and colo-anal anastomosis with colonic reservoir for rectal carcinoma

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Resection and colo-anal anastomosis with colonic reservoir for rectal carcinoma

Sphincter-saving operations are now generally accepted for the treatment of mid-rectal cancers. Many techniques have been described: low colorectal anastomosis, pull-through procedures, and colo-anal anastomosis. The functional results following these operations are impaired by loss of the reservoir function of the rectum. In order to improve these results, a modification of Parks' colo-anal anastomosis is proposed. A J -shaped colic reservoir is constructed and its end is anastomosed to the anal canal.
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The journal aims to publish articles that may contribute to the improvement and the development of the practice, research, and teaching of coloproctology and related specialities. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
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The treatment of low rectal cancer is still a widely debated topic in surgical oncology. From March to August , 18 patients with tumors sited in the lower third of the rectum underwent a total rectal resection extended to the ano-rectal junction. As restorative procedure, a colic J-shaped pouch and a handsewn pouch-endoanal anastomosis was adopted. All the lesions were less than 8 cm from the anal verge; in Histological clearance of the rectum cut edge was documented in all cases.
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