Sphincter-sparing surgery in patients with low-lying rectal cancer: techniques, oncologic outcomes, and functional results.

Published

Journal Article (Review)

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.

Full Text

Duke Authors

Cited Authors

  • Bordeianou, L; Maguire, LH; Alavi, K; Sudan, R; Wise, PE; Kaiser, AM

Published Date

  • July 2014

Published In

Volume / Issue

  • 18 / 7

Start / End Page

  • 1358 - 1372

PubMed ID

  • 24820137

Pubmed Central ID

  • 24820137

Electronic International Standard Serial Number (EISSN)

  • 1873-4626

Digital Object Identifier (DOI)

  • 10.1007/s11605-014-2528-y

Language

  • eng

Conference Location

  • United States