[Clinical significance of intersphincteric resection related anatomy effect on surgical safety]

J C Cong1, H Zhang1, C S Chen1

  • 1Ward of Colorectal Tumor, Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China.

The anatomical studies of intersphincteric resection (ISR) have made remarkable progress in recent years. The anatomy of internal, external sphincter and hiatal ligament has been further understood. In this paper, the generation and functional mechanism of ISR related anatomy are described from the embryonic development process, and then the influence of hiatal ligament and internal sphincter on ISR surgery is analyzed respectively according to the anatomical characteristics. Finally, the correlation analysis of anatomical factors on the common problems of mucosal bleeding and instrument anastomosis in ISR is carried out. The objective of this paper is to improve the safety of ISR surgery by providing detailed anatomical explanations.