What Is the Place of Intersphincteric Resection When Operating on Low Rectal Cancer?. (1st August 2012)

• Record Type: Journal Article
• Authors: Nagayama, Satoshi; Al-Kubati, Waheeb; Sakai, Yoshiharu
• Other Names: Targarona E. M. Academic Editor.; Tsimoyiannis E. C. Academic Editor.; Wang J. Y. Academic Editor.
• Is Part Of: ISRN surgery. Volume 2012(2012)
• Publication Date: 2012-08-01
• Subjects: Surgery -- Periodicals; General Surgery; Surgical Procedures, Operative; Surgery; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; Electronic journals; 617
• DOI: 10.5402/2012/585484
• Languages: English
• ISSNs: 2090-5785

Abstract

Abstract : Operating on low rectal cancer by performing an intersphincteric resection (ISR) with coloanal anastomosis has been adopted as an alternative to abdominoperineal excision (APE) following Schiessel et al. report in 1994, as it preserves the sphincter and avoids the need for a permanent stoma. We undertook a review of the recent literature specifically focusing on long-term oncologic and functional outcomes of ISR to evaluate whether this operation is a valid alternative to an APE. In conclusion, younger patients with T1 or T2 rectal cancers who require no preoperative therapy are ideal candidates for ISR, given that preoperative chemoradiotherapy may cause long-term severe anal dysfunction after ISR.