Sphincter-preserving Surgery for Rectal Cancer.
- Author:
Hong Jo CHOI
1
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. colonch@donga.ac.kr
- Publication Type:Review ; English Abstract
- Keywords:
Rectal cancer;
Sphincter-preserving surgery
- MeSH:
Anal Canal;
Digestive System Surgical Procedures/*methods;
Humans;
Rectal Neoplasms/*surgery
- From:The Korean Journal of Gastroenterology
2006;47(4):260-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although optimal treatment of tumors at mid and distal rectum continues to be a matter of great debate to oncologic surgeons, a surgical goal of sphincter preservation should be considered in all patients with an intact sphincter. There are growing evidences and indications that sphincter-preserving procedure might be a valid alternative to conventional modality in tumors of the mid or lower rectum. Traditionally, an abdominoperineal resection with permanent colostomy would be the sole surgical option. Recently, a variety of sphincter-preserving procedures are performed in majority of distal rectal cancers with acceptable oncologic and optimal functional results. Several recent advances may further influence future treatment strategies and many issues are, at present, under evaluation. Here, some of the most relevant topics regarding current methods of sphincter-preserving procedures with their oncologic and functional results are discussed to establish the guideline of surgical treatment in rectal cancer.
