INTERSPHINCTERIC PROCTECTOMY PDF

The aim of this study was to compare postoperative morbidity with emphasis on pelvic abscesses after LH and IP. All patients that had LH or IP for low rectal cancer were included in three centres between and in this retrospective cohort study. Follow-up was performed for at least 12 months. A total of 52 patients were included: 40 LH and 12 IP. Median follow-up was 29 months IQR There were no differences between groups in gender, age and ASA classification.

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Correspondence Address : Dr. Background: The role of intersphincteric proctectomy in low rectal cancer remains controversial. Objective: To compare the perioperative and oncologic outcomes of intersphincteric proctectomy to proctectomy with stapled coloanal anastomosis.

Design: A retrospective case-matched review. Setting: A tertiary colorectal surgery unit. Patients and Methods: All intersphincteric proctectomy cases conducted by one surgeon over a 7-year period were matched for gender, race, age, and comorbidities with patients who underwent proctectomy with stapled coloanal anastomosis.

Main Outcome Measures: Operative time, blood loss, postoperative complications, length of stay, margin status, lymph node harvest, and local recurrence rate. Sample Size: Thirty-four patients. Results: Group A intersphincteric 17 and Group B stapled 17 were compared. Mean age was All patients received neoadjuvant chemoradiation and underwent diverting ileostomy. Estimated blood loss was higher in Group A ml vs. Similarly, operative time was longer in Group A vs. No difference was noted in postoperative complication rate between Group A and B Length of stay was similar in both groups 6.

Distal margin was longer in Group B 3. Conclusions: Intersphincteric proctectomy was associated with higher blood loss and longer operative time compared to stapled coloanal anastomosis. Immediate and long-term oncologic outcomes were comparable.

Limitations: A single surgeon experience, retrospective study, and small number of patients. Conflict of Interest: None. Advanced Search. Users Online: Zbar AP. Sir W. Ernest miles. Tech Coloproctol ; Abbas MA. Sphincter preservation for distal rectal cancer: How far is too far?

Am J Clin Oncol ; Optimizing rectal cancer management: Analysis of current evidence. Dis Colon Rectum ; Systematic review of outcomes after intersphincteric resection for low rectal cancer.

Br J Surg ; Intersphincteric resection for low rectal cancer: Laparoscopic vs open surgery approach. Colorectal Dis ; Extending the horizons of restorative rectal surgery: Intersphincteric resection for low rectal cancer. Long-term results of intersphincteric resection for low rectal cancer.

Ann Surg ; Oncologic outcome after preoperative chemoradiotherapy in patients with pathologic T0 ypT0 rectal cancer. Oncologic outcomes after radical surgery following preoperative chemoradiotherapy for locally advanced lower rectal cancer: Abdominoperineal resection versus sphincter-preserving procedure.

Ann Surg Oncol ; Surg Endosc ; Laparoscopic intersphincteric resection for low rectal cancer. World J Surg ; JAMA ; Transanal total mesorectal excision: Pathological results of patients with mid and low rectal cancer. Failure of evidence-based cancer care in the United States: The association between rectal cancer treatment, cancer center volume, and geography.

Nicholls RJ, Hall C. Treatment of non-disseminated cancer of the lower rectum. Distal intramural spread in adenocarcinoma of the lower third of the rectum treated with total rectal resection and coloanal anastomosis. A prospective pathologic analysis using whole-mount sections of rectal cancer following preoperative combined modality therapy: Implications for sphincter preservation.

Adequacy of 1-cm distal margin after restorative rectal cancer resection with sharp mesorectal excision and preoperative combined modality therapy. Preoperative radiochemotherapy and sphincter-saving resection for T3 carcinomas of the lower third of the rectum. Risk factors for anastomotic leakage following intersphincteric resection for very low rectal adenocarcinoma. J Gastrointestinal Surg ; Advanced Search Users Online: Case-matched comparison of intersphincteric proctectomy versus proctectomy with stapled coloanal anastomosis for low rectal cancer.

World J Colorectal Surg ; Table 1: Patient baseline characteristics Click here to view. Table 2: Intraoperative outcomes Click here to view. Table 3: Immediate oncologic outcomes Click here to view. Table 4: Postoperative outcome Click here to view. Table 5: Long-term outcome Click here to view. Related articles Coloanal anastomosis intersphincteric proctectomy outcome rectal cancer. Access Statistics.

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Intersphincteric Resection for Low Rectal Cancer: An Overview

Correspondence Address : Dr. Background: The role of intersphincteric proctectomy in low rectal cancer remains controversial. Objective: To compare the perioperative and oncologic outcomes of intersphincteric proctectomy to proctectomy with stapled coloanal anastomosis. Design: A retrospective case-matched review. Setting: A tertiary colorectal surgery unit. Patients and Methods: All intersphincteric proctectomy cases conducted by one surgeon over a 7-year period were matched for gender, race, age, and comorbidities with patients who underwent proctectomy with stapled coloanal anastomosis.

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Functional and oncologic results after intersphincteric proctectomy?

Anthony de Buck van Overstraeten, Albert M. Background: Perianal Crohn's disease CD represents a more aggressive phenotype of inflammatory bowel disease and often coincides with proctocolitis. This study aims to assess the outcome of patients undergoing proctectomy with end-colostomy. Methods: A retrospective outcome analysis of 10 consecutive patients who underwent intersphincteric proctectomy with end-colostomy between February and May was performed.

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Intersphincteric Proctectomy

Anthony de Buck van Overstraeten, Albert M. Background: Perianal Crohn's disease CD represents a more aggressive phenotype of inflammatory bowel disease and often coincides with proctocolitis. This study aims to assess the outcome of patients undergoing proctectomy with end-colostomy. Methods: A retrospective outcome analysis of 10 consecutive patients who underwent intersphincteric proctectomy with end-colostomy between February and May was performed.

VELADURAS MARIA TERESA ANDRUETTO PDF

The treatment of rectal cancer has evolved from being solely a surgical endeavor to a multidisciplinary practice. Despite the improvement in outcomes conferred by the addition of chemoradiation therapy to rectal cancer treatment, advances in surgical technique have significantly increased rates of sphincter preservation and the avoidance of a permanent stoma. In recent years, intersphincteric resection for low rectal cancer has been offered and performed in patients as an alternative to abdominoperineal resection. An overview of this procedure, including indications, oncological and functional results based on current literature, is presented herein. There has been an evolution in the treatment of rectal cancer in recent times. A few decades ago, rectal cancer treatment was solely a surgical endeavour. Nowadays, it has evolved into therapy involving several disciplines.

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