Intersphincteric Resection for Low Rectal TumorsRudolf 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. |
Spis treści
| 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 |
| 185 | |
About the editors | 188 |
Inne wydania - Wyświetl wszystko
Intersphincteric Resection for Low Rectal Tumors Rudolf Schiessel,Peter Metzger Podgląd niedostępny - 2014 |
Intersphincteric Resection for Low Rectal Tumors Rudolf Schiessel,Peter Metzger Podgląd niedostępny - 2012 |
Intersphincteric Resection for Low Rectal Tumors Rudolf Schiessel,Peter Metzger Podgląd niedostępny - 2012 |
Kluczowe wyrazy i wyrażenia
abdominal abdominoperineal resection adenocarcinoma anal canal anal function anal verge anastomotic anatomical Ann Surg anorectal anus approach assessment bowel chemoradiation circumferential clinical coloanal anastomosis Colon Rectum colonic pouch dentate line disease dissection downstaging E-ESR endorectal ultrasound ERUS evaluation external anal sphincter external sphincter fecal incontinence hypogastric nerves ileostomy incision incontinence infiltration internal intersphincteric resection invasion J-pouch layer lesions levator low anterior resection low rectal cancer lower rectum lymph nodes mesorectum metastasis muscularis propria Oncol operation partial ISR pathological pelvic floor performed perineal perirectal permanent colostomy plane plexus postoperative pouch procedure prostate puborectalis radiation radiotherapy rectal cancer surgery rectal carcinoma rectal resection rectal tumors rectal wall recurrence rate resection for low resection margin Rullier sacral Schiessel sigmoid specimen sphincter muscle sphincter preservation sphincter resection sphincter-saving splenic flexure staging of rectal stoma surgeon survival rate tion tissue total mesorectal excision transanal tumor