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[Results of deep rectum resection and intersphincteric rectum excision]
Summary
Low anterior resection and intersphincteric extirpation are accepted sphincter-saving rectal cancer treatments. This study found a 2.5% lethality rate and 14% anastomotic insufficiency in 42 patients undergoing these rectal surgeries.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Distal third rectal cancer treatment traditionally involved abdominoperineal resection.
- Sphincter-saving procedures are increasingly preferred for rectal cancer.
- Low anterior resection and intersphincteric extirpation offer alternatives to permanent colostomy.
Purpose of the Study:
- To evaluate the outcomes of low resection and intersphincteric extirpation for distal rectal cancer.
- To assess the safety and efficacy of sphincter-saving techniques in rectal cancer surgery.
Main Methods:
- Retrospective analysis of 42 patients with distal rectal cancer treated between December 1990 and December 1994.
- Procedures included low resection or intersphincteric extirpation.
- Anastomosis techniques: 18 transanal sutured, 24 stapler.
Main Results:
- The study included 42 patients (17 women, 25 men) with a mean age of 67.2 years.
- Lethality rate was 2.5%.
- Anastomotic insufficiency rate was 14%.
Conclusions:
- Low resection and intersphincteric extirpation are viable sphincter-saving options for distal rectal cancer.
- These techniques demonstrate acceptable outcomes regarding mortality and morbidity.
- Further research may optimize anastomosis techniques to reduce anastomotic insufficiency.