Intersphincteric resection for very low rectal cancer: a systematic review

  title={Intersphincteric resection for very low rectal cancer: a systematic review},
  author={Yoshito Akagi and Tetsushi Kinugasa and Kazuo Shirouzu},
  journal={Surgery Today},
Radical surgical treatment for very low rectal cancer near the anus has generally involved abdominoperineal resection. Various sphincter-saving operations have been developed for such tumors to optimize the patients’ postoperative quality of life. Current protocols focus on intersphincteric resection (ISR), which differs from conventional hand-sewn coloanal anastomosis (CAA) after low anterior resection. However, the efficacy of ISR remains unclear. The surgical, oncologic, and functional… CONTINUE READING
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review of published literature 2000–2009

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