RESUMEN
Proctectomy with total mesorectumectomy, resection of the interior sphincter, deep parts of the external sphincter and bringing down were fulfilled according to an original authors' method in 7 patients aged from 38 to 78 years for cancer of the inferioampular part of the rectum with tumor located within the limits 8-35 mm from the anus (T3N1MO (n=1), T3NOM1 (n=1), T4N2M1 (n=1). Six months after operation conscious urge to defecation 1-2 times a day and containment of stools were noted and a year later it was possible to ignore urges during 15-30 min. In 5 patients T3NOM0--T3N1M0 relapse-free period for 3-5 years was noted.
Asunto(s)
Canal Anal/cirugía , Colectomía/métodos , Procedimientos de Cirugía Plástica/métodos , Neoplasias del Recto/cirugía , Recto/cirugía , Adulto , Anciano , Canal Anal/fisiopatología , Animales , Defecación , Modelos Animales de Enfermedad , Perros , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Neoplasias del Recto/fisiopatología , Recto/fisiopatología , Factores de Tiempo , Resultado del TratamientoRESUMEN
Endoscopic ultrasonic examination for diagnosis of malignant tumors of a lower-ampullar part of the rectum determined indications to inter-sphincter resection consisting in total mesorectumectomy, resection of the rectum and internal sphincter. The method of creation of a globe-shape reservoir with artificial muscular sphincter was developed. Fourteen patients underwent surgery, the follow-up was up to 3,5 years. It is demonstrated that a globe-shape extensible reservoir and autonomic bloching function of muscular sphincter are the main conditions of repair of defecation functions in long-term period after inter-sphincter resection.