Abdomino-sacral approach for coloanal anastomosis for lower rectal cancer

The abdomino-sacral approach is an important and essential procedure for surgery on a recto-anal lesion. The sacral approach had been applied since the former century, but the abdomino-sacral approach was not completely established. The sacral wound dehiscence is a common associated morbidity. It is very difficult for a surgeon who needs this procedure to find a text that contains all the techniques required. Thus, most surgeons have not understood this procedure, and have not known the capabilities of and indications for this approach. The abdomino-sacral approach to lower rectal cancer and/or lesions located there, is described. Especially advantages such as the improved skin incision and the colo-anal anastomosis using this approach are mentioned.