[Reconstructive surgery after anterior resection of the rectum].

  title={[Reconstructive surgery after anterior resection of the rectum].},
  author={St. Willis and Volker Schumpelick},
  journal={Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen},
  volume={75 1},
Sphincter preservation is a goal in the treatment of rectal cancer and should be considered in all patients with intact analsphincter. For tumors of the upper rectum, this is easily achieved by end-to-end decendorectostomy. Total mesorectal excision is obligatory for tumors of the mid and lower third of the rectum. Reconstruction of intestinal continuity can be achieved by colonal anastomosis, if the oncologic situation allows a sphincter-preserving procedure. Creation of a colonic J-pouch can… CONTINUE READING

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