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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: May 20, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Intersphincteric resection for low rectal cancer: an overview.

Constantine P Spanos1

  • 11st Department of Surgery, Aristotelian University School of Medicine, 55236 Thessaloniki, Greece.

International Journal of Surgical Oncology
|July 11, 2012
PubMed
Summary

Intersphincteric resection offers a valuable surgical alternative for low rectal cancer, improving sphincter preservation and avoiding permanent stomas. This approach enhances functional outcomes for rectal cancer patients.

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Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Rectal Cancer Treatment

Background:

  • Rectal cancer treatment has evolved into a multidisciplinary approach.
  • Chemoradiation therapy improves outcomes but surgical techniques are key for sphincter preservation.
  • Minimizing the need for permanent stomas is a significant goal in rectal cancer surgery.

Purpose of the Study:

  • To provide an overview of intersphincteric resection for low rectal cancer.
  • To discuss the indications for this sphincter-preserving surgical technique.
  • To review the oncological and functional results of intersphincteric resection based on current literature.

Main Methods:

  • Literature review of studies on intersphincteric resection for low rectal cancer.
  • Analysis of indications, surgical techniques, and outcomes.
  • Synthesis of oncological and functional results from published data.

Main Results:

  • Intersphincteric resection is a viable alternative to abdominoperineal resection for selected low rectal cancer patients.
  • The procedure facilitates higher rates of sphincter preservation.
  • Oncological safety and acceptable functional outcomes have been reported in the literature.

Conclusions:

  • Intersphincteric resection represents a significant advancement in surgical management of low rectal cancer.
  • It offers a valuable option for patients aiming to avoid a permanent stoma.
  • Further research and standardized techniques can optimize results for this sphincter-preserving surgery.