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Clin Colon Rectal Surg 2017; 30(05): 368-376
DOI: 10.1055/s-0037-1606114
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Intersphincteric Resection Pushing the Envelope for Sphincter Preservation

Quentin Denost
1   Colorectal Unit, Department of Surgery, Centre Magellan, Haut Lévèque University Hospital, Bordeaux/Pessac, France
,
Eric Rullier
1   Colorectal Unit, Department of Surgery, Centre Magellan, Haut Lévèque University Hospital, Bordeaux/Pessac, France
› Author Affiliations
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Publication History

Publication Date:
27 November 2017 (online)

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Abstract

During the last 15 years, a significant evolution has emerged in the surgical treatment of rectal cancer and restoration of bowel continuity has been one of the main goals. For many years the treatment of distal rectal cancer would necessarily require an abdominoperineal resection and end colostomy. The surgical procedure of intersphincteric resection has been proposed to offer sphincter preservation in patients with low rectal cancer and has been legitimized if executed according to adequate oncologic criteria. This article will discuss the best indications, technical aspects, functional, and oncological outcomes of intersphicteric resection in the management of rectal cancer.

Keywords

rectal cancer - intersphincteric resection - radiochemotherapy
 

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