Die Kontinenzerhaltung durch koloanale Anastomose beim tiefen Rektumkarzinom — Ein Grenzbereich der Rektumchirurgie?
Coloanal anastomosis after resection of low and lowest rectal carcinoma has been performed in 70 patients with tumors in the middle and lower third of the rectum. The crude 5 year survival was 58% overall and 62% after curative surgery, locoregional recurrence appeared in 13% with no difference in the middle or lower third. Definitive preservation of continence was achieved in 87%. The demonstrated method is a save way of sphincter-preservation in deep rectal cancer without compromising oncological radicality.
Preservation of Recto-Anal Continence by Colo-Anal Anastomosis in Deep Rectal Cancer: Limits on Rectal Surgery?
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