2016Cirugía y Cirujanos (English Edition)Open access

Turnbull–Cutait technique in low rectal cancer: Case report

Jorge Luis de Leon‐Rendón, Francesc Vallribera-Valls, Cristina Caspari, Eloy Espín

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Abstract

Background The surgical treatment for low rectal cancer involves an ultra-low anterior resection with complete mesorectal resection and coloanal anastomosis. Two-stage coloanal anastomosis such as the Turnbull–Cutait technique represents an option for patients with low rectal cancer. Clinical case A 69 year-old female patient with a diagnosis of adenocarcinoma (T2N1), located 4 cm from the anal margin. She received neoadjuvant radiotherapy. An ultra-low anterior resection and total resection of the mesorectum were performed. The intestinal transit was reconstructed by coloanal anastomosis using the Turnbull–Cutait technique. Conclusion Coloanal anastomosis with the Turnbull–Cutait technique represents a primary option for patients with low rectal cancer, avoiding a loop ileostomy, its economic impact and on their quality of life.

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Background The surgical treatment for low rectal cancer involves an ultra-low anterior resection with complete mesorectal resection and coloanal anastomosis. Two-stage coloanal anastomosis such as the Turnbull–Cutait technique represents an option for patients with low rectal cancer. Clinical case A 69 year-old female patient with a diagnosis of adenocarcinoma (T2N1), located 4 cm from the anal margin. She received neoadjuvant radiotherapy. An ultra-low anterior resection and total resection of the mesorectum were performed. The intestinal transit was reconstructed by coloanal anastomosis using the Turnbull–Cutait technique. Conclusion Coloanal anastomosis with the Turnbull–Cutait technique represents a primary option for patients with low rectal cancer, avoiding a loop ileostomy, its economic impact and on their quality of life.

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Available abstract

Background The surgical treatment for low rectal cancer involves an ultra-low anterior resection with complete mesorectal resection and coloanal anastomosis. Two-stage coloanal anastomosis such as the Turnbull–Cutait technique represents an option for patients with low rectal cancer. Clinical case A 69 year-old female patient with a diagnosis of adenocarcinoma (T2N1), located 4 cm from the anal margin. She received neoadjuvant radiotherapy. An ultra-low anterior resection and total resection of the mesorectum were performed. The intestinal transit was reconstructed by coloanal anastomosis using the Turnbull–Cutait technique. Conclusion Coloanal anastomosis with the Turnbull–Cutait technique represents a primary option for patients with low rectal cancer, avoiding a loop ileostomy, its economic impact and on their quality of life.

Key concepts: Coloanal anastomosis, Medicine, Anastomosis, Total mesorectal excision, Surgery, Colorectal cancer, Abdominoperineal resection, Adenocarcinoma

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