External sphincter resection for lower rectal and anal canal adenocarcinoma: achieving anal preservation with oncological and functional satisfaction.
Surg Today
; 44(7): 1385-8, 2014 Jul.
Article
em En
| MEDLINE
| ID: mdl-24817058
ABSTRACT
Intersphincteric resection (ISR) has recently been performed for very low rectal cancer, whereas abdominoperineal resection (APR) is typically reserved for cancers extremely close to the anal verge and/or when the depth of tumor invasion is suspected to involve the intersphincteric space. This is because impairment of anal function is considered unavoidable if the external sphincter (ES) is excised. We describe our technique of ISR with ES resection and discuss its outcomes. This surgical technique may offer major clinical advantages to selected patients and should be considered as an alternative to APR, although careful consideration of anal function is required.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Canal Anal
/
Neoplasias do Ânus
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Neoplasias Retais
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Procedimentos Cirúrgicos do Sistema Digestório
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Adenocarcinoma
/
Satisfação do Paciente
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Recuperação de Função Fisiológica
/
Tratamentos com Preservação do Órgão
Limite:
Humans
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article