scholarly journals Sphincter Saving Techniques in Low Rectal Cancer Surgical Treatment: Results, Perspectives

2015 ◽  
Vol 61 (1) ◽  
pp. 10-14
Author(s):  
C. Russu ◽  
C. Copotoiu ◽  
V. Bud ◽  
C. Saracut ◽  
M. Gherghinescu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Resection ◽  
Colorectal Anastomosis ◽  
Low Rectal Cancer ◽  
Postoperative Results ◽  
Sphincter Function ◽  
Anterior Rectal Resection ◽  
Sphincter Saving ◽  
Peranal Anastomosis

Abstract Objective: Sphincter saving techniques in low rectal cancer represents a challenge for the surgeons in their attempt to preserve the sphincter function and also to respect the principles of oncological surgery, in order to improve the quality of the patient’s life. The paper’s aim is to compare different sphincter saving techniques in regards to the early postoperative results. Methods: An observational, retrospective study was performed on 76 patients (N = 76) operated for low rectal cancer in the Surgical Clinic no.1 of the Targu Mures Emergency Clinical County Hospital, between January 2010 and October 2014, to whom the rectal resection was followed by a primary restorative technique for preservation of the sphincter function. The immediate postoperative results after different types of sphincter saving procedures were analyzed and compared. Results: From the studied patients, in 41 cases (53.94%) an anterior rectal resection with low colorectal anastomosis was done („very low” Dixon procedure), for 29 patients (38.15%) a sphincter saving technique with a peranal anastomosis was performed and in 6 cases (7.89%) an intersphinteric rectal resection with coloanal anastomosis was made. Conclusions: Sphincter saving techniques, if oncological principles are respected, represents a viable option in the treatment of low rectal cancer and brings hope for improving the quality of the patients’ life.

scholarly journals The results of anterior rectal resection with the formation of a hardware anastomosis in cancer patients

2021 ◽  
Vol 2 (4) ◽  
pp. 6-12
Author(s):  
E. N. Kolesnikov ◽  
A. V. Snezhko ◽  
V. S. Trifanov ◽  
M. A. Kozhushko ◽  
Yu. A. Fomenko ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Resection ◽  
Colorectal Anastomosis ◽  
Research Centre ◽  
Surgical Interventions ◽  
X Ray ◽  
National Medical ◽  
Anterior Rectal Resection ◽  
Intestinal Stoma ◽  
Mesenteric Excision

Purpose of the study. A retrospective analysis of the immediate results of performing anterior rectal resections in cancer. Materials and methods. In the Department of Abdominal Oncology No. 1 with a group of X-ray vascular methods of diagnosis and treatment of the clinic of the National Medical Research Centre for Oncology of the Ministry of Health of Russia treatment for rectal cancer operations of anterior rectal resection were performed in 334 patients, while in 143 (42.8 %) cases they were low. As a standard, total mesenteric excision and lymphoid dissection in volume D2 were performed. Combined surgical interventions were performed in 68 (20.4 %) patients for locally spread tumors. As a rule, they were resection in nature and were performed with tumor infiltration of adjacent organs (bladder with ureters, ovaries, uterus, vagina, small intestine, abdominal wall). Colorectal anastomosis using crosslinking devices was formed in all cases, in 316 (94.6 %) cases it was a "side – to-end" junction, in 18 patients – "end-to-end". A preventive proximal intestinal stoma was formed in 73 (21.9 %) cases, where 67 cases it was an ileostomy, and 6 – a transversostomy. The preventive proximal intestinal stoma was not formed among 261 patients. Results. After performing anterior resections for rectal cancer operations, the complications developed in 75 (22.5 %) patients. The most threatening and dangerous complication was the failure of the colorectal anastomosis, which was noted in 12 (3.5 %) cases.This complication occurred in 8.2 % (6 patients out of 73) of preventatively stoma-treated patients, in 2.3 % of patients without a stoma (6 patients out of 261).Conclusion. The use of a preventive proximal intestinal stoma allows you to form a colorectal anastomosis even in the presence of complicated forms of rectal cancer. The number of complications directly referred to the formation of a preventive proximal intestinal stoma is relatively small, but when planning surgery for uncomplicated rectal cancer, the probability of their possible occurrence should be taken into account.

OUTCOME OF SPHINCTER PRESERVING RECTAL RESECTION FOR LOW RECTAL CANCER

2017 ◽  
pp. 36-40
Author(s):  
Vinh Quy Truong ◽  
Anh Vu Pham ◽  
Quang Thuu Le
Keyword(s):  
Rectal Cancer ◽  
Functional Outcomes ◽  
Low Anterior Resection ◽  
Rectal Resection ◽  
Anal Verge ◽  
Low Rectal Cancer ◽  
Central Hospital ◽  
Mesorectal Excision ◽  
Pull Through ◽  
Stage T1

Purpose: To evaluate the functional outcome of sphincter-preserving rectal resection for low rectal cancer. Materials and Methods: From April 2009 to January 2016, there are 52 patients who underwent sphincter-preserving rectal resection with total mesorectal excision with low rectal cancer (<6cm from the anal verge) at Hue Central Hospital, Hue, Vietnam. Results: the average age 62.7 ± 12.8, the distance of tumor from anal verge include four group (≤ 3cm 1.9%; 3 to ≤ 4cm 17.3%; 4 to ≤ 5cm 34.6%; > 5 cm). T stage T1/ T2/T3: 1.9%/28.8%/69.2%. The following time is 33.8 ± 18.9 month. Overall recurrence was 13/18(27.1%), local recurrence was 5 (10.4%). Total survival was 40.5 ± 2.9 month. Technique: intersphincteric preservation 14 (26.9%), low anterior resection 17 (32.7%) and pull-through procedure 21 (40.4%). The distance of anatomosis from anal verge: from 1 to ≤ 2 cm:14 (26.9%); from 2 to ≤ 3cm: 21 (40.4%); from 3 to ≤ 4 cm: 17 (32.7%). Bowels movement of 3 month: 4.7 ± 3.2 and 12th month: 2.7 ± 1.6 (p< 0.01). Conclusions: Sphincterpreserving rectal resection using may provide a good continence and oncologic safety. The patients are acceptable with the results of functional outcomes. Key words: Low rectal cancer, sphincter-preserving

Oncological strategy following R1 sphincter-saving resection in low rectal cancer after chemoradiotherapy

2021 ◽  
Author(s):  
Quentin Denost ◽  
Vincent Assenat ◽  
Veronique Vendrely ◽  
Bertrand Celerier ◽  
Anne Rullier ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Low Rectal Cancer ◽  
Sphincter Saving Resection ◽  
Sphincter Saving

scholarly journals Quality of Life and Functional Outcome After Transanal Abdominal Transanal Proctectomy for Low Rectal Cancer

2017 ◽  
Vol 60 (3) ◽  
pp. 258-265 ◽  
Author(s):  
John H. Marks ◽  
Jean F. Salem ◽  
Elsa B. Valsdottir ◽  
Shadi S. Yarandi ◽  
Gerald J. Marks
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Functional Outcome ◽  
Low Rectal Cancer ◽  
Transanal Proctectomy
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