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September 1, 1994British journal of surgery

Intersphincteric resection for low rectal tumours

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Authors

RSR SchiesselJKJudith Karner‐HanuschFHF. Herbst

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Overview

Cohort study demonstrates satisfactory continence and low recurrence following intersphincteric resection for low rectal tumours, indicating an effective sphincter-preserving alternative.

Key Points

  • To describe an intersphincteric resection technique with internal sphincter removal and evaluate its oncologic and functional outcomes in low rectal tumors.
  • Retrospective review of 38 patients operated on since 1984 (34 low rectal cancers, 4 carcinoid or large villous adenomas).
  • Surgical intervention consisted of abdominoperineal rectal resection extended into the intersphincteric plane with internal sphincter excision and coloanal anastomosis.
  • Patients were evaluated over a median follow-up of 3 years for local recurrence, stool frequency, and anal manometry parameters.
  • Zero operative mortality occurred, and 4 of 38 patients developed local recurrence during a median follow-up of 3 years.
  • Continence was satisfactory in all patients, with median daily bowel movements decreasing from 9 in the early postoperative months to 3 at 1 year and 1 at 2 years.
  • Anal manometry revealed a significant decrease in mean resting pressure from 91.8 to 35.1 cmH2O with no recovery after 2 years (P < 0.0001), while squeeze pressure showed only transient impairment.

Cite This Study

Schiessel et al. (1994) studied this question.

synapsesocial.com/papers/69db22d10d8d6ef495a3cf66https://doi.org/10.1002/bjs.1800810944
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