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Related Experiment Videos

[Intersphincteric rectum resection with colosphincter pouch]

U Hildebrandt1, W Lindemann, D Kreissler-Haag

  • 1Chirurgische Klinik, Universität des Saarlandes, Homburg.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|April 1, 1995
PubMed
Summary
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Sphincter-saving resections for rectal cancer, including intersphincteric resection and colonic J-pouch reconstruction, demonstrate good functional outcomes and low complication rates. These techniques preserve continence in most patients undergoing low rectal cancer surgery.

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastroenterology

Context:

  • Rectal cancer treatment increasingly focuses on sphincter-saving resections.
  • Tumor location and depth dictate surgical techniques for low rectal cancer.
  • Reconstruction often involves colonic J-pouch formation.

Purpose:

  • To evaluate the outcomes of sphincter-saving resections for low rectal cancer.
  • To assess the efficacy of intersphincteric resection and colonic J-pouch reconstruction.
  • To analyze postoperative functional results and complication rates.

Summary:

  • A study of 35 rectal cancer patients (average age 58.1) from 1991-1994 utilized intersphincteric resection (11 patients) or upper anal canal resection (24 patients).
  • Tumor penetration depth was assessed endosonographically (ES T1-T3). Colonic J-pouches (7-9 cm) were created via suturing or stapling.

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  • Postoperative anal pressures were measured in 10 patients; major complications were rare, with minor anastomotic leaks in three patients. Oncologic outcomes included one pelvic side recurrence and four liver metastases.

    • Impact:

    • Sphincter-saving resections with J-pouch reconstruction are effective for low rectal cancer.
    • The majority of patients maintain good to excellent anal sphincter continence post-surgery.
    • This surgical strategy offers a favorable balance between oncologic control and functional preservation.