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International Journal of Surgical Oncology
Volume 2012, Article ID 581258, 10 pages
http://dx.doi.org/10.1155/2012/581258
Review Article

Intersphincteric Resection and Coloanal Anastomosis in Treatment of Distal Rectal Cancer

Department of General Surgery, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvari, Istanbul 34090, Turkey

Received 21 March 2012; Accepted 30 March 2012

Academic Editor: Constantine P. Karakousis

Copyright © 2012 Gokhan Cipe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The first aim of this study is to assess the morbidity, mortality, oncological, and functional outcomes of intersphincteric resection. The second aim is to compare outcomes of patients who underwent intersphincteric resection with the outcomes of patients who underwent abdominoperineal resection.