Excision of the levator muscles with external sphincter preservation in the treatment of selected low T4 rectal cancers

Diseases of the Colon and Rectum

Volumn 45, Issue 12, 2002, Pages 1697-1705

  Fucini, Claudio ^a   Elbetti, Claudio ^a   Petrolo, Alessandra ^a   Casella, Donato ^a  

^a UNIVERSITY OF FLORENCE   (Italy)

Author keywords

Anal canal anatomy; Coloanal anastomoses; Preoperative radiochemotherapy; Rectal cancer

Indexed keywords

FLUOROURACIL; FOLINIC ACID;

ADULT; AGED; ANUS SPHINCTER; ARTICLE; CANCER CHEMOTHERAPY; CANCER INFILTRATION; CANCER LOCALIZATION; CANCER RADIOTHERAPY; CLINICAL ARTICLE; COLON ANASTOMOSIS; CONTROLLED STUDY; EXCISION; FEMALE; FUNCTIONAL ASSESSMENT; HUMAN; LEVATOR ANI MUSCLE; MALE; PATIENT SELECTION; RECTUM CANCER;

AGED; ANAL CANAL; ANASTOMOSIS, SURGICAL; CHEMOTHERAPY, ADJUVANT; COLON; COMBINED MODALITY THERAPY; FEMALE; HUMANS; MALE; MIDDLE AGED; MUSCLE, SKELETAL; NEOPLASM INVASIVENESS; RADIOTHERAPY, ADJUVANT; RECTAL NEOPLASMS; TREATMENT OUTCOME;

EID: 0036902918     PISSN: 00123706     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10350-004-7263-0     Document Type: Article

References (20)

1. Ayoub SF. Anatomy of the external sphincter in man. Acta Anat 1979;105:25-36.
2. Levi AC, Borghi F, Garavoglia M. Development of the anal canal muscles. Dis Colon Rectum 1991;34:262-6.
3. Matzel KE, Schmidt RA, Tanagho EA. Neuroanatomy of the striated muscular anal continence mechanism: Implications for the use of neurostimulation. Dis Colon Rectum 1990;33:666-73.
4. Fucini C, Elbetti C, Messerini L. Anatomic plane of separation between external anal sphincter and puborectalis muscle: Clinical implications. Dis Colon Rectum 1999;42:374-9.
5. Rowe JS, Skandalakis JE, Gray SW, Olafson RP, Steinmann RJ. The surgical anal canal. Contemp Surg 1974; 5:107-17.
6. Parks AG. Post-anal perineorrhaphy for rectal prolapse. Proc R Soc Med 1967;60:920-1.
7. Fucini C, Tommasi SM, Rosi S, et al. Follow-up of colorectal cancer resected for cure: An experience with CEA, TPA, Ca 19-9 analysis and second-look surgery. Dis Colon Rectum 1987;30:273-7.
8. Browning GG, Parks AG. Postanal repair for neuropathic faecal incontinence: Correlation of clinical result and anal canal pressure. Br J Surg 1983;70:101-4.
9. Nicholls RJ, Dozois RR. Surgery of the Colon and Rectum. Edinburgh: Churchill Livingstone, 1997.
10. Braun J, Treutner KH, Winkeltau G, Heidenreich U, Lerch MM, Schumpelick V. Results of intersphincteric resection of the rectum with direct coloanal anastomosis for rectal carcinoma. Am J Surg 1992;163: 407-12.
11. Schiessel R, Karner-Hanusch J, Herbst F, Teleky B, Wunderlich M. Intersphincteric resection for low rectal tumours. Br J Surg 1994;81:1376-8.
12. Schumpelick V, Braun J. Intersphincteric rectum resection with radical mesorectum excision and colo-anal anastomosis [in German]. Chirurg 1996;67:110-20.
13. Bruch HP, Kolbert G. Results of deep rectum resection and intersphincteric rectum excision [in German]. Chirurg 1997;68:689-92.
14. Teramoto T, Watanabe M, Kitajima M. Per anum intersphincteric rectal dissection with direct coloanal anastomosis for lower rectal cancer: The ultimate sphincter-preserving operation. Dis Colon Rectum 1997;40(Suppl 10):S43-7.
15. Rullier E, Zerbib F, Laurent C, et al. Intersphincteric resection with excision of internal anal sphincter for conservative treatment of very low rectal cancer. Dis Colon Rectum 1999;42:1168-75.
16. Kohler A, Athanasiadis S, Ommer A, Psarakis E. Long term results of low anterior resection with intersphincteric anastomosis in carcinoma of the lower one-third of the rectum: Analysis of 31 patients. Dis Colon Rectum 2000;43:843-50.
17. Rullier E, Goffre B, Bonnel C, Zerbib F, Caudry M, Saric J. Preoperative radiochemotherapy and sphincter-saving resection for T3 carcinomas of the lower third of the rectum. Ann Surg 2001;234:633-40.
18. Parks AG, Gordon PH, Hardcastle JD. A classification of fistula in ano. Br J Surg 1976;63:1-12.
19. Rouanet P, Fabre JM, Dubois JB, et al. Conservative surgery for low rectal carcinoma after high dose radiation. Functional and oncologic results. Ann Surg 1995; 221:67-73.
20. Chen ET, Mohiuddin M, Brodovsky H, Fishbein G, Marks G. Downstaging of advanced rectal cancer following combined preoperative chemotherapy and high dose radiation. Int J Radiat Oncol Biol Phys 1994;30: 169-75.