Transvaginal low anterior resection for rectal cancer

  • A. N. YücesoyEmail author
  • E. Ercan Bülbül
  • R. Bahat
  • C. Cafer Köşkeroğlu
  • P. V. TsarkovEmail author
Controversies in Colon and Rectal Surgery


Adenocarcinoma of the lower rectum can be resected with a sphincter-sparing procedure but exposure of the lower pelvis may be difficult and sphincter function may be compromised. We have performed a low anterior resection for rectal cancer in a 69-year-old woman with mobilisation of the tumour and anastomosis performed transvaginally without a covering stoma. This way we could get good exposure of the lower rectum and anal sphincters. The patient made an uneventful recovery and was fully continent after surgery. Transvaginal low anterior resection is an alternative route which may be useful in cases of difficult exposure of low rectal cancer.


Rectum carcinoma Low anterior resection Transvaginal approach 


  1. 1.
    McNamara DA, Parc R (2003) Methods and results of sphincter preserving surgery for rectal cancer. Cancer Control 10:212–218PubMedGoogle Scholar
  2. 2.
    Shimada S, Matsuda M (1996) A new device for the treatment of coloproctostomic stricture after double stapling anastomoses. Ann Surg 224:603–608CrossRefPubMedGoogle Scholar


  1. 1.
    Moritz E, Achleitner D, Hölbling N et al (1991) Single vs. double stapling technique in colorectal surgery. A prospective randomized trial. Dis Colon Rectum 34:495–497CrossRefPubMedGoogle Scholar
  2. 2.
    Folkesson J, Nilsson J, Pahlman L et al (2004) The circular stapling device as a risk factor for anastomotic leakage. Colorectal Dis 6:275–279CrossRefPubMedGoogle Scholar
  3. 3.
    Castro AF (1973) Vaginal approach in resection of low-lying malignant rectal lesions. Tex Med 69:65–69PubMedGoogle Scholar
  4. 4.
    Michek J, Necas F, Reisinger H et al (1983) Transvaginal resection of carcinoma of the rectum. Rozhl Chir 62:176–180PubMedGoogle Scholar
  5. 5.
    Kim J, Shim M, Kwun K (1996) Laparoscopic-assisted transvaginal resection of the rectum. Dis Colon Rectum 39:582–583CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  1. 1.Özel Bati Bahat HospitalIstanbulTurkey
  2. 2.Department of Colorectal SurgeryNational Research Center for SurgeryMoscowRussia

Personalised recommendations