Abstract
Objective
To assess the anal sphincter function after intersphincteric resection for low rectal cancer by questionnaire and vectorial manometry.
Methods
Twenty five patients underwent intersphincteric resection, the controls contained 25 patients of rectal cancer who underwent low anterior resection and 25 healthy people. The therapeutic responses were evaluated using the Vaizey and Wexner scoring systems and vectorial manometry.
Results
The Vaizey and Wexner scores after intersphincteric resection were significantly higher than those of low anterior resection controls at one month, but had no significant difference one year after. On the other hand, the indexes of vectorial manometry still had significant difference one year later. The indexes after intersphincteric resection could not reach the normal level.
Conclusion
The anal sphincter function after intersphincteric resection is lower than that after low anterior resection in short term, although the long-term results can be accepted, it still can not reach the normal level.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Braun J, Treutner KH, Winkeltau G, et al. Results of interspnincteric resection of the rectum with direct coloanal anastomosis for rectal carcinoma[J]. Am J Surg 1992; 163: 407–412.
Saito N, Ono M, Sugito M, et al. early results of intersphincteric resection for patients with very low rectal cancer: an acdtive approach to avoid a permanent colostomy[J]. Dis colon Rectum 2004; 47: 459–466.
Rullier E, Zerbib F, Laurent C, et al. Intersphincteric resection with excision of internal anal sphincter for conservative treatment of very low rectal cancer[J]. Dis Colon Rectum 1999; 42: 1168–1175.
Bittorf B, Stadelmaier U, Gohl J, et al. Functional outcome after intersphincteric resection of the rectum with coloanal anastomosis in low rectal cancer[J]. Eur J Surg Oncol 2004; 30: 260–265.
Chin CC, Yeh CY, Huang WS, et al. Clinical outcome of intersphincteric resection for ultra-low rectal cancer[J]. World J Gastroenterol 2006; 12: 640–643.
Gamagami R, Istvan G, Cabarrot P, et al. Fecal continence following partial resection of the anal canal in distal rectal cancedr: long-term results after coloanal anastomoses[J]. Surgery 2000; 127: 291–295.
Vaizey CJ, Carapeti E, Cahill JA, et al. Prospective comparison of faecal incontinence grading systems[J]. Gut 1999; 44: 77–80.
Jorge JM, Wexner SD. Etiology and management of fecal incontinence[J]. Dis Colon Rectum 1993; 36: 77–97.
Fucini C, Elbetti C, Petrolo A, et al. Excision of the levator muscles with external sphincter preservation in the treatment of selected low T4 rectal cancers[J]. Dis Colon Rectum 2002; 45: 1697–1705.
Frigell A, Ottander M, Stenbeck H, et al. Quality of life of patients treated with abdominoperineal resecdtion or anterior resedtion for rectal carcinoma [J]. Ann Chir Gynaecol 1990; 79: 26–30.
Camilleri-Brennan J, Steele RJ. Quality of life after treatment for rectal cancer[J]. Br J Surg 1998; 85:1036–1043.
Shibata D, Guillem JG, Lanouette N, et al. Functional and quality-of-life outcomes in patients with rectal cancer after combined modality therapy, intraoperative radiation therapy, and sphincter preservation[J]. Dis Colon Rectumf 2000; 43: 752–758.
Kohler A, Athanasiadis S, Ommer A, et al. Long-term results of low anterior resection with intersphincteric anastomosis in carcinoma of the lower one-third of the rectum: analysis of 31 patients[J]. Dis Colon Rectum 2000; 43: 843–50.
Schiessel R, Novi g, Holzer b, et al. Technique and long-term results of intersphincteric resection for low rectal cancer[J]. Dis Colon Rectum 2005; 48:1858–1867.
Hallbook O, Nystrom PO, Sjodahl R. Physiologic characteristics of straight and colonic J-pouch anastomoses after rectal excision for cancer[J]. Dis Colon Rectum 1997; 40: 332–338.
Sangwan YP, Solla JA. Internal anal sphincter: advances and insights[J]. Dis Colon Rectum 1998; 41:1297–311.
Portier G, Ghouti L, Kirzin S, et al. Oncological outcome of ultra-low coloanal anastomosis with and without intersphincteric resection for low rectal adenocarcinoma[J]. Br J Surg 2007; 94: 341–345.
Author information
Authors and Affiliations
Corresponding author
Additional information
This work was supported by a grant from the Education Department of Liaoning Province (No. 05L484).
Rights and permissions
About this article
Cite this article
Cong, Jc., Dai, Xw., Chen, Cs. et al. Anal sphincter function after intersphincteric resection for low rectal cancer. Chin. J. Cancer Res. 19, 295–298 (2007). https://doi.org/10.1007/s11670-007-0295-y
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s11670-007-0295-y