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Management of limitations for sphincter preservation and functional failure following intersphincteric resection

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Intersphincteric Resection for Low Rectal Tumors

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Abstract

Oncological surgeons try to achieve the right balance between an acceptable oncological outcome and best possibly quality of life (QOL). The new definition of minimal safe margins as well as standardization of the surgical technique (with special emphasis on mesorectal excision) has led to the establishment of intersphincteric resection as an acceptable solution for ultra-low rectal tumors. The feasibility of this procedure has been repeatedly proven by our group as well as others in a considerable number of patients [1, 2]. Nevertheless, two limitations of the method must be taken into account:

  1. (a)

    Oncological limitations

  2. (b)

    Functional failure

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Author information

Authors and Affiliations

  1. Wiener Privatklinik, Pelikangasse 15, 1090, Vienna, Austria

    Prof. Harald R. Rosen MD (Professor of Surgery)

Authors
  1. Prof. Harald R. Rosen MD
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Correspondence to Harald R. Rosen MD .

Editor information

Editors and Affiliations

  1. Ludwig Boltzmann Institute for Surgical Oncology, Vienna, Austria

    Rudolf Schiessel MD

  2. Surgical Department, Danube Hospital, Vienna, Austria

    Peter Metzger MD, PhD

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© 2012 Springer-Verlag/Wien

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Rosen, H.R. (2012). Management of limitations for sphincter preservation and functional failure following intersphincteric resection. In: Schiessel, R., Metzger, P. (eds) Intersphincteric Resection for Low Rectal Tumors. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0929-8_19

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  • DOI: https://doi.org/10.1007/978-3-7091-0929-8_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0928-1

  • Online ISBN: 978-3-7091-0929-8

  • eBook Packages: MedicineMedicine (R0)

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