Abdominoperineal pull-through with delayed coloanal anastomosis for pelvic anastomotic failure-a systematic review.

ABSTRACT:

Aim

Despite the potential benefits of abdominoperineal pull-through with delayed coloanal anastomosis (DCAA), it is still infrequently performed as a salvage procedure for pelvic anastomotic failure. We aimed to perform a systematic review on the subject to guide practice.

Method

PubMed, Embase and Cochrane were used to identify studies evaluating DCAA for salvage after pelvic surgery from inception to August 2024. Risk of bias assessment was performed using the Newcastle-Ottawa scale. The primary outcome was overall stoma-free survival. Secondary outcomes included hospital length of stay, high-grade postoperative complication rates, 30-day postoperative mortality rates, incidence of redo surgical intervention after DCAA, and postoperative anorectal function.

Results

SUBMITTER: Tan TJK 

PROVIDER: S-EPMC12361269 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature