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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 7/2014

Open Access 01-07-2014 | EVIDENCE-BASED REVIEW OF CURRENT SURGICAL PRACTICE

Sphincter-Sparing Surgery in Patients with Low-Lying Rectal Cancer: Techniques, Oncologic Outcomes, and Functional Results

Authors: Liliana Bordeianou, Lillias Holmes Maguire, Karim Alavi, Ranjan Sudan, Paul E. Wise, Andreas M. Kaiser

Published in: Journal of Gastrointestinal Surgery | Issue 7/2014

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Abstract

Background

Rectal cancer management has evolved into a complex multimodality approach with survival, local recurrence, and quality of life parameters being the relevant endpoints. Surgical treatment for low rectal cancer has changed dramatically over the past 100 years.

Discussion

Abdominoperineal resection, once the standard of care for all rectal cancers, has become much less frequently utilized as surgeons devise and test new techniques for preserving the sphincters, maintaining continuity, and performing oncologically sound ultra-low anterior or local resections. Progress in rectal cancer surgery has been driven by improved understanding of the anatomy and pathophysiology of the disease, innovative surgical technique, improved technology, multimodality approaches, and increased appreciation of the patient’s quality of life. The patient with a low rectal cancer, once almost universally destined for impotence and a colostomy, now has the real potential for improved survival, avoidance of a permanent stoma, and preservation of the normal route of defecation.
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Metadata
Title
Sphincter-Sparing Surgery in Patients with Low-Lying Rectal Cancer: Techniques, Oncologic Outcomes, and Functional Results
Authors
Liliana Bordeianou
Lillias Holmes Maguire
Karim Alavi
Ranjan Sudan
Paul E. Wise
Andreas M. Kaiser
Publication date
01-07-2014
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 7/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-014-2528-y

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