Functional results of intersphincteric resection for low rectal cancer.

Functional results of intersphincteric resection for low rectal cancer. Research Abstract Details 

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Functional results of intersphincteric resection for low rectal cancer. Abstract Text:

K Yamada,S Ogata,Y Saiki,M Fukunaga,Y Tsuji,M Takano,

BACKGROUND: Intersphincteric resection (ISR) is the ultimate sphincter-preserving operation for very low rectal cancer. The aim of this study was to assess defaecatory function after ISR in relation to the degree of resection of the internal anal sphincter. METHODS: Between 2001 and 2003, 35 consecutive patients with low rectal cancer had curative ISR, categorized as total, subtotal or partial resection of the internal anal sphincter. Defaecatory function was assessed in terms of frequency of bowel movements and continence. Sphincter function was evaluated by manometric study and anorectal sensation testing before surgery and 3, 6 and 12 months afterwards. RESULTS: Defaecatory function was satisfactory after ISR; 34 of 35 patients were grossly continent. The maximum resting anal canal pressure fell after all three procedures. Patients who had total ISR had reduced anal canal sensation at 3 months, but this had improved by 12 months after surgery. CONCLUSION: These functional results suggest that ISR should be considered as an alternative to abdominoperineal resection for low rectal cancer. However, as the outcome for continence is worse after total ISR than subtotal or partial ISR, the indication for total ISR should strictly take into account the preoperative sphincter function.

Functional results of intersphincteric resection for low rectal cancer. Publishing Authors By Initials

K Yamada,S Ogata,Y Saiki,M Fukunaga,Y Tsuji,M Takano,

For similar tomography, x-ray computed research abstracts see: tomography, x-ray computed research

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Functional results of intersphincteric resection for low rectal cancer. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The British journal of surgery

VOLUME: 94

Page Numbers: 1272-7

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ISSN: 1365-2168

DAY: 27

MONTH: Oct

YEAR: 2007

Functional results of intersphincteric resection for low rectal cancer. Information

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LANGUAGE: eng

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Functional results of intersphincteric resection for low rectal cancer. Keywords Mesh Terms:

KEYWORDS: Tomography, X-Ray Computed

MESH TERMS: surgery

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Grant and Affiliation Information for Functional results of intersphincteric resection for low rectal cancer.

AFFILIATION: Coloproctology Centre, Takano Hospital, 4-2-88 Obiyama, Kumamoto 862-0924, Japan.

Country: England

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MEDLINETA: Br J Surg

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