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Reconstruction

  • Chapter
Rectal Cancer

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

At present, preservation of the anal sphincter is possible in the majority of low rectal (LR) carcinomas; indeed, by associating neoadjuvant radiochemotherapy (RCT) to TME, it is possible to preserve the sphincter in at least 70% of cases [1]. However, it is obvious that proctectomy, followed by straight coloanal or colorectal anastomosis (SCA), significantly modifies the mechanisms of continence and defecation. The functional results after anterior resection (AR) in low resections (LAR) with direct anastomosis (end-to-end), located less than 10 cm from the anal margin and in absence of preoperative radiotherapy, report good continence rates in just 20% of cases, against 100% of high AR (Fig. 9.1) [2].

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Authors and Affiliations

  1. Department of Medicine, Surgery and Health Sciences, General Surgery Unit, Cattinara University Hospital, Trieste, Italy

    Paola Tarchi

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  1. Paola Tarchi
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  2. Elisa Moretti
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  3. Nicolò de Manzini
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Correspondence to Paola Tarchi .

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  1. Department of Medicine, Surgery and Health Sciences, General Surgery Unit, Cattinara University Hospital, Trieste, Italy

    Nicolò de Manzini

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Tarchi, P., Moretti, E., de Manzini, N. (2013). Reconstruction. In: de Manzini, N. (eds) Rectal Cancer. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2670-4_9

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  • DOI: https://doi.org/10.1007/978-88-470-2670-4_9

  • Publisher Name: Springer, Milano

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