{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:52:48Z","timestamp":1793321568592,"version":"4.5.0"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,5,15]],"date-time":"2022-05-15T00:00:00Z","timestamp":1652572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The Turnbull\u2013Cutait pull\u2010through procedure (TCO) restores intestinal continuity in the setting of chronic pelvic sepsis, colorectal anastomotic leak, complex pelvic fistulas and technical challenges related to complicated rectal cancer. The aim of this study was to evaluate the outcomes of the TCO for salvaging complex pelvic conditions and to compare it to hand\u2010sewn immediate coloanal anastomosis (CAA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective single\u2010institution study where we searched a prospectively maintained database to identify patients who underwent the TCO. Patient demographics, operative indications and outcomes were analysed. TCO success was defined as maintenance of intestinal continuity and being stoma\u2010free. Kaplan\u2013Meier analysis was employed for stoma\u2010free survival analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 81 patients with TCO and 129 patients with CAA were included. The TCO success rate was 69% at a median of 1.4\u2009years\u2019 follow\u2010up with 25 (31%) patients ending up with a permanent stoma compared to 22 (17%) in the CAA group with a median follow\u2010up of 4\u2009years (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.03). The Kaplan\u2013Meier cumulative incidence of TCO success at 1, 3 and 5\u2009years was 79%, 60% and 51%, respectively, compared to 91%, 81% and 73% after CAA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The TCO has a high success rate for patients with complex pelvic conditions who may be facing a permanent stoma as their only option.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16163","type":"journal-article","created":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T10:22:41Z","timestamp":1651400561000},"page":"1184-1191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Turnbull\u2013Cutait abdominoperineal pull\u2010through operation: The Cleveland Clinic experience in the 21st century"],"prefix":"10.1111","volume":"24","author":[{"given":"Olga A.","family":"Lavryk","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Bandi","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherief F.","family":"Shawki","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crina","family":"Floruta","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Valente","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott R.","family":"Steele","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy L.","family":"Hull","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14469"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2012.07.023"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","unstructured":"MuellerM GeisM GlatzleJ KasparekM MeileT JehleEC et al.Risk of fecal diversion in complicated perianal Crohn's disease. J Gastrointest Surg.2007;11(4):529\u201337.","DOI":"10.1007\/s11605-006-0029-3"},{"key":"e_1_2_11_5_1","unstructured":"CutaitDE.Megacolon. Nova tecnica de retossigmoidectotoia abdominoperineal sere coiostomia. S\u00e3o Paulo Brasih Anais do I Congresso Latino\u2010Americano II Internacional e X Brasilerio de Proctologia 1960. 831\u201346."},{"key":"e_1_2_11_6_1","first-page":"498","article-title":"Pull\u2010through resection of the rectum, with delayed anastomosis, for cancer or Hirschsprung's disease","volume":"59","author":"Turnbull RB","year":"1966","journal-title":"Surgery"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.1625"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12532"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6458"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-2119-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15144"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001583"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002025"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318272de70"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16163","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.16163","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T13:58:55Z","timestamp":1692626335000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,15]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1111\/codi.16163"],"URL":"https:\/\/doi.org\/10.1111\/codi.16163","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,15]]},"assertion":[{"value":"2022-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}