Total anorectal reconstruction with a double dynamic graciloplasty after abdominoperineal reconstruction for low rectal cancer

1997 ◽  
Vol 40 (6) ◽  
pp. 698-705 ◽  
Author(s):  
Bastiaan P. Geerdes ◽  
Frans A. N. Zoetmulder ◽  
Erik Heineman ◽  
Egbert J. Vos ◽  
Mart-Jan Rongen ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Low Rectal Cancer ◽  
Dynamic Graciloplasty ◽  
Anorectal Reconstruction ◽  
Total Anorectal Reconstruction

scholarly journals Intersphincteric resection with partial removal of external anal sphincter for low rectal cancer

2008 ◽  
Vol 55 (3) ◽  
pp. 45-53 ◽  
Author(s):  
Y.A. Shelygin ◽  
G.I. Vorobiev ◽  
D.YU. Pikunov ◽  
E.V. Markova ◽  
Y.A. Djhanaev ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Functional Outcome ◽  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Colonic Pouch ◽  
Stoma Closure ◽  
Partial Removal ◽  
Anorectal Reconstruction

Abdominoperineal resection (APR) remains the standard procedure for rectal cancer located within 0.5 cm from dentate line (DL). In this study, we present a new type of restorative surgery: intersphincteric resection with partial removal of external anal sphincter (EAS) and anorectal reconstruction for ultra low rectal cancer. Between March 2003 and May 2008 fifty patients (28 males, aged between 39 and 71) were operated on for ultra low rectal cancer uT2-3N0M0 with partial preservation of EAS and total anorectal reconstruction (smoothmuscle neosphincter and colonic pouch). A protective stoma was performed in all cases. Functional outcome and quality of life were recorded at 3,6,12,18,24 months after stoma closure using Wexner score and FIQL respectively. Anal manometry, vectrum volumetry and myography data were taken as well. Results. Postoperative complications developed in 2 patients, but no secondary surgery was required. Carcinomas were staged as pT2 (n=14) and pT3 (n=36). The distal clearan - ce was 2.00.4(range 1.5-2.8)cm, lateral clearance was 0.80.3(range 0.2-1.4)cm. After a median follow-up of 24 (range 2-61) months, 2 local recurrences were occurred and salvaged by APR. Contractive activity of saved elements of EAS improved with a course of time and squeezing anal pressure increased as well. Perfect functional outcome was achieved in 25 of 34 patients at 12 months after stoma closure, and all the patients were satisfied with procedure. Good functional results of suggested surgery seems to be an acceptable alternative to APR with permanent stoma in selected patients.

Verbesserung der Behandlungsstrategie für Low Rectal Cancer: Ergebnisse der prospektiven MERCURY II Studie

2014 ◽  
Vol 52 (08) ◽  
Author(s):  
S Stelzner ◽  
J Straßburg ◽  
N Battersby ◽  
P How ◽  
N West ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Low Rectal Cancer

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

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