ABSTRACT

We aimed to assess the functional results of cecorectal anastomosis in our case series.

A total of 18 patients were treated with subtotal colectomy and cecorectal anastomosis, the indications being synchronous or metachronous tumor, diverticulosis and its complications, or obstruction. Ten patients from a total of 18 were male. Mean age was 63.5 (range 23-96).

At a mean follow-up of 42 months (range 6 month-5.5 year) all patients survived, had no diarrhea, incontinence, tumor relapse or major complications, except for three patients. One patient died due to cardiac disorders and the two other patients have major complications. One patient developed stercoral fistula on the postoperative 15th day and closed spontaneously. Another patient developed a pelvic abscess in the third postoperative month which was treated with reoperation.

Cecorectal anastomosis was first described by Ogilvie, in 1931. The method is an alternative way of reconstruction after subtotal colectomy to ileorectal anastomosis for gastrointestinal tract continuity. This type of reconstruction preserves the important functions of the cecum and distal ileum.