Intersphincteric Resection for Low Rectal Tumors

Przednia okładka
Rudolf Schiessel, Peter Metzger
Springer Science & Business Media, 11 lip 2012 - 194
The work describes a new method of sphincter salvage in surgery of rectal cancer. Low tumors of the rectum are traditionally treated with amputation of the rectum. However, this operation is not well-received by patients, since it results in a permanent colostomy. By contrast, intersphincteric resection allows sphincter salvage even in low tumors and is now widely accepted among experts in the field of colorectal surgery. The book will describe the basics (pathology,physiology, radiology) as well as the surgical technique and its different modifications.
 

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Spis treści

The pathological assessment of the surgical specimens originating from the lower rectum and anal canal
3
Preoperative diagnostic procedures
10
Endorectal ultrasound for preoperative staging
13
MRI for staging
24
Preoperative therapeutic options
41
The Watch Wait Protocol
43
Intersphincteric resection and its modifications
54
Surgical anatomy in intersphincteric resection
57
Intersphincteric resection for very low rectal cancer Special reference to surgical techniques
130
ISR practice and experience for extralow rectal cancer in China
139
Experience from a German Cancer Center
145
Transanal abdominal transanal proctosigmoidectomy with descending coloanal anastomosis the TATA procedure for low rectal cancer treated with c...
153
Robotassisted intersphincteric resection
159
Postoperative function
164
Quality of life following rectal resection
165
Do we need a pouch after intersphincteric resection?
173

The quest for sphincter preservation
64
Surgical technique of intersphincteric resection
73
The laparoscopic technique of intersphincteric rectum resection
85
Laparoscopic intersphincteric resection for ultralow rectal cancer
99
A concept of sphincter salvage in low rectal cancer
110
Oncologic and functional outcomes of external sphincter resection
121
Management of limitations for sphincter preservation and functional failure following intersphincteric resection
177
List of contributors
183
Subject index
185
About the editors
188
Prawa autorskie

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Informacje o autorze (2012)

Univ.-Prof. Dr. Rudolf Schiessel, Director of Ludwig Boltzmann Institute for Surgical Oncology, Vienna

Univ.-Doz. Dr. Peter Metzger, Oberarzt, Sozialmedizinisches Zentrum Ost - Donauspital, Vienna

Informacje bibliograficzne