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Ersatz des Analsphinkters

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Zusammenfassung

In der heutigen Zeit werden Patienten mit einem tiefen Rektumkarzinom in der Regel mit einer tiefen anterioren Rektumresektion und einer koloanalen Anastomose versorgt. Nur in sehr wenigen Fällen, in denen der Tumor in den Beckenboden oder in die Sphinktermuskulatur infiltriert, ist eine abdominoperineale Resektion notwendig. Dies bedeutet den Verlust des normalen Anus und damit den Verlust der normalen Defäkation. Für viele Patienten ist die Vorstellung, ein Stoma zu bekommen, untragbar. Nach unseren Erfahrungen ist die Herstellung eines funktionellen Neoanus nach abdominoperinealer Rektumresektion bei tiefem Rektumkarzinom eine geeignete Option für Patienten in gutem Allgemeinzustand, die sehr motiviert sind.

Abstract

Presently, deep rectal carcinoma is usually treated by deep anterior rectal resection and coloanal anastomosis. Abdominoperineal resection is needed only for the very few patients whose tumors infiltrate the pelvic base or sphincter musculature. This means the loss of normal anal function and thus of normal defecation. Many patients find the idea of a stoma unacceptable. In our experience, the construction of a functional neoanus after abdominoperineal rectal resection is a suitable option for patients in good general health and who are highly motivated.

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Authors and Affiliations

  1. Department of Surgery, Academic Hospital, Maastricht, Netherlands

    C. G. M. I. Baeten

  2. Department of Surgery, Academic Hospital Maastricht, P.O. Box 5800, 6202 AZ, Maastricht, Netherlands

    C. G. M. I. Baeten

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  1. C. G. M. I. Baeten
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Correspondence to C. G. M. I. Baeten.

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Dieser Beitrag wurde übersetzt und bearbeitet von Dr. A. Mehrabi, Chirurgische Universitätsklinik Heidelberg

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Baeten, C.G.M.I. Ersatz des Analsphinkters. Chirurg 75, 21–25 (2004). https://doi.org/10.1007/s00104-003-0797-1

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  • DOI: https://doi.org/10.1007/s00104-003-0797-1

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