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Functional outcomes after intersphincteric resection for ultralow rectal cancer

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Author:
No author available
Journal Title:
World Chinese Journal of Digestology
Issue:
31
DOI:
10.11569/wcjd.v25.i31.2761
Key Word:
经括约肌间切除术;低位直肠癌;肛门失禁;Intersphincteric resection;Low rectal cancer;Incontinence

Abstract: Anal function is one of the most important parameters for evaluating the efficacy of intersphincteric resection (ISR) for the treatment of ultralow rectal cancer (< 1 cm from the anal sphincter).Although there have been no results hitherto from randomized controlled trials to verify the clinical benefits of the ultimate sphincter-sparing technique,increasing evidence demonstrates that ISR significantly decreases the rate of permanent stoma and patients could acquire satisfied functional results after surgery.This review discusses the short-term and long-term functional outcomes,risk factors for anal incontinence,and surgical method and approach of ISR.

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