<abstract xmlns="http://www.w3.org/1999/xhtml"> Objective: Sphincter saving techniques in low rectal cancer represents a challenge for the surgeons in their attempt to preserve the sphincter function and also to respect the principles of oncological surgery, in order to improve the quality of the patient’s life. The paper’s aim is to compare different sphincter saving techniques in regards to the early postoperative results. Methods: An observational, retrospective study was performed on 76 patients (N = 76) operated for low rectal cancer in the Surgical Clinic no.1 of the Targu Mures Emergency Clinical County Hospital, between January 2010 and October 2014, to whom the rectal resection was followed by a primary restorative technique for preservation of the sphincter function. The immediate postoperative results after different types of sphincter saving procedures were analyzed and compared. Results: From the studied patients, in 41 cases (53.94%) an anterior rectal resection with low colorectal anastomosis was done („very low” Dixon procedure), for 29 patients (38.15%) a sphincter saving technique with a peranal anastomosis was performed and in 6 cases (7.89%) an intersphinteric rectal resection with coloanal anastomosis was made. Conclusions: Sphincter saving techniques, if oncological principles are respected, represents a viable option in the treatment of low rectal cancer and brings hope for improving the quality of the patients’ life.</abstract>

Objective: Sphincter saving techniques in low rectal cancer represents a challenge for the surgeons in their attempt to preserve the sphincter function and also to respect the principles of oncological surgery, in order to improve the quality of the patient’s life. The paper’s aim is to compare different sphincter saving techniques in regards to the early postoperative results. Methods: An observational, retrospective study was performed on 76 patients (N = 76) operated for low rectal cancer in the Surgical Clinic no.1 of the Targu Mures Emergency Clinical County Hospital, between January 2010 and October 2014, to whom the rectal resection was followed by a primary restorative technique for preservation of the sphincter function. The immediate postoperative results after different types of sphincter saving procedures were analyzed and compared. Results: From the studied patients, in 41 cases (53.94%) an anterior rectal resection with low colorectal anastomosis was done („very low” Dixon procedure), for 29 patients (38.15%) a sphincter saving technique with a peranal anastomosis was performed and in 6 cases (7.89%) an intersphinteric rectal resection with coloanal anastomosis was made. Conclusions: Sphincter saving techniques, if oncological principles are respected, represents a viable option in the treatment of low rectal cancer and brings hope for improving the quality of the patients’ life.

Sphincter Saving Techniques in Low Rectal Cancer Surgical Treatment: Results, Perspectives

University of Medicine and Pharmacy of Tirgu Mures, Surgical Clinic no. 1, County Clinical Emergency Hospital Targu Mures, Romania

County Clinical Emergency Hospital Targu Mures, Romania

University of Medicine and Pharmacy of Tirgu Mures, Obstetrics and Gynecology Clinic no. 1, County Clinical Emergency Hospital Targu Mures, Romania

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Objective: Sphincter saving techniques in low rectal cancer represents a challenge for the surgeons in their attempt to preserve the sphincter function and...

Sphincter Saving Techniques in Low Rectal Cancer Surgical Treatment: Results, Perspectives

Published Online: Jun 16, 2015

Page range: 10 - 14

Received: Dec 09, 2014

Accepted: Jan 05, 2015

DOI: https://doi.org/10.1515/amma-2015-0013

Keywords
low rectal cancer, tumor resection, anastomosis

© by C. Russu

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Sphincter Saving Techniques in Low Rectal Cancer Surgical Treatment: Results, Perspectives

Published Online: Jun 16, 2015

Page range: 10 - 14

Received: Dec 09, 2014

Accepted: Jan 05, 2015

DOI: https://doi.org/10.1515/amma-2015-0013

Keywordslow rectal cancer, tumor resection, anastomosis

© by C. Russu

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
low rectal cancer, tumor resection, anastomosis