Advances in the diagnosis and treatment of intersphincteric resection for ultra-low rectal carcinoma
10.3760/cma.j.cn115396-20191231-00244
- VernacularTitle:超低位直肠癌括约肌间切除术的研究进展
- Author:
Chuang ZHENG
1
;
Yiming ZHOU
;
Jianbin XIANG
Author Information
1. 复旦大学附属华山医院普外科，上海 200040
- From:
International Journal of Surgery
2020;47(8):559-562
- CountryChina
- Language:Chinese
-
Abstract:
It has been 20 years since Intersphincteric resection(ISR) was used as a supplement to Abdominoperineal resection(APR) for ultra-low rectal cancer. With the help of removing conjointed longitudinal muscle and total or partial internal sphincter, R0 resection is achieved under the condition of preserving external sphincter, levator ani muscle, and part of internal sphincter, thereby retaining part of the anal function. This article reviews the indications, anatomy, physiology and treatment outcomes of ISR.
