Long-term Oncologic Outcomes After Neoadjuvant Chemoradiation Followed by Intersphincteric Resection With Coloanal Anastomosis for Locally Advanced Low Rectal Cancer

2019 ◽  
Vol 62 (4) ◽  
pp. 408-416 ◽  
Author(s):  
Jun Seok Park ◽  
Soo Yeun Park ◽  
Hye Jin Kim ◽  
Seung Hyun Cho ◽  
Sang Gyu Kwak ◽  
...  
2019 ◽  
Vol 39 (4) ◽  
pp. 2113-2120
Author(s):  
NICCOLÒ PETRUCCIANI ◽  
MARIA CLOTILDE CARRA ◽  
ALEIX MARTÍNEZ-PÉREZ ◽  
GIULIO CESARE VITALI ◽  
FILIPPO LANDI ◽  
...  

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Satoshi Nagayama ◽  
Waheeb Al-Kubati ◽  
Yoshiharu Sakai

Operating on low rectal cancer by performing an intersphincteric resection (ISR) with coloanal anastomosis has been adopted as an alternative to abdominoperineal excision (APE) following Schiessel et al. report in 1994, as it preserves the sphincter and avoids the need for a permanent stoma. We undertook a review of the recent literature specifically focusing on long-term oncologic and functional outcomes of ISR to evaluate whether this operation is a valid alternative to an APE. In conclusion, younger patients with T1 or T2 rectal cancers who require no preoperative therapy are ideal candidates for ISR, given that preoperative chemoradiotherapy may cause long-term severe anal dysfunction after ISR.


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