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Latest Advances in Intersphincteric Resection for Low Rectal Cancer
Joint Authors
Tao, Qingsong
Xv, Yifan
Fan, Jiajun
Ding, Yuan
Hu, Yang
Hu, Yingjie
Jiang, Zhengjie
Source
Gastroenterology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-20
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Intersphincteric resection (ISR) has been a preferable alternative to abdominoperineal resection (APR) for anal preservation in patients with low rectal cancer.
Laparoscopic ISR and robotic ISR have been widely used with the proposal of 2 cm or even 1 cm rule of distal free margin and the development of minimally invasive technology.
The aim of this review was to describe the newest advancements of ISR.
Methods.
A comprehensive literature review was performed to identify studies on ISR techniques, preoperative chemoradiotherapy (PCRT), complications, oncological outcomes, and functional outcomes and thereby to summarize relevant information and controversies involved in ISR.
Results.
Although PCRT is employed to avoid positive circumferential resection margin (CRM) and decrease local recurrence, it tends to engender damage of anorectal function and patients’ quality of life (QoL).
Common complications after ISR include anastomotic leakage (AL), anastomotic stricture (AS), urinary retention, fistula, pelvic sepsis, and prolapse.
CRM involvement is the most important predictor for local recurrence.
Preoperative assessment and particularly rectal endosonography are essential for selecting suitable patients.
Anal dysfunction is associated with age, PCRT, location and growth of anastomotic stoma, tumour stage, and resection of internal sphincter.
Conclusions.
The ISR technique seems feasible for selected patients with low rectal cancer.
However, the postoperative QoL as a result of functional disorder should be fully discussed with patients before surgery.
American Psychological Association (APA)
Xv, Yifan& Fan, Jiajun& Ding, Yuan& Hu, Yang& Hu, Yingjie& Jiang, Zhengjie…[et al.]. 2020. Latest Advances in Intersphincteric Resection for Low Rectal Cancer. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1167096
Modern Language Association (MLA)
Xv, Yifan…[et al.]. Latest Advances in Intersphincteric Resection for Low Rectal Cancer. Gastroenterology Research and Practice No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1167096
American Medical Association (AMA)
Xv, Yifan& Fan, Jiajun& Ding, Yuan& Hu, Yang& Hu, Yingjie& Jiang, Zhengjie…[et al.]. Latest Advances in Intersphincteric Resection for Low Rectal Cancer. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1167096
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167096