Sphincter Saving Resection

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Sphincter-saving resection for all rectal carcinomas: the end of the 2-cm distal rule.

OBJECTIVE To assess oncologic outcome of patients treated by conservative radical surgery for tumors below 5 cm from the anal verge. SUMMARY BACKGROUND DATA Standard surgical treatment of low rectal cancer below 5 cm from the anal verge is abdominoperineal resection. METHODS From 1990 to 2003, patients with a nonfixed rectal carcinoma at 4.5 cm or less from the anal verge and without extern...

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Sphincter saving anorectoplasty (SSARP) for the reconstruction of Anorectal malformations

BACKGROUND This report describes a new technique of sphincter saving anorectoplasty (SSARP) for the repair of anorectal malformations (ARM). METHODS Twenty six males with high ARM were treated with SSARP. Preoperative localization of the center of the muscle complex is facilitated using real time sonography and computed tomography. A soft guide wire is inserted under image control which serve...

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Laparoscopic Sphincter Saving Surgery for Node Positive Anorectal Melanoma

Anorectal melanomas (ARM) are rare malignancies accounting for 0.4-0.6% of all melanoma cases and 1% of anorectal malignant tumors [1,2]. Surgery remains the gold standard treatment since melanoma are resistant to chemotherapy as well as radiotherapy. Conventionally two forms of surgical treatment are applicable for ARM–Abdominoperineal resection (APER) and wide local excision (WLE) [3]. Though...

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Safe Distal Resection Margin in Patients With T3 Mid and Distal Rectal Cancer Who Underwent a Sphincter-Saving Resection Without Preoperative Radiotherapy

nodes even in the same category of T3 cancer in patients without radiation therapy. The distal resection margin (DRM) means the length of the tumor-free normal mucosa and rectal wall. Han et al. [3] published the manuscript, ‘Association between a close distal resection margin and recurrence after sphincter-saving resections for T3 midor low-rectal cancer without radiotherapy.’ With retrospecti...

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Association Between a Close Distal Resection Margin and Recurrence After a Sphincter-Saving Resection for T3 Mid- or Low-Rectal Cancer Without Radiotherapy

PURPOSE To maintain the patient's quality of life, surgeons strive to preserve the sphincter during rectal cancer surgery. This study evaluated the oncologic safety of a sphincter-saving resection with a distal resection margin (DRM) <1 cm without radiotherapy in T3, mid- or low-rectal cancer. METHODS This retrospective study enrolled 327 patients who underwent a sphincter-saving resection fo...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 2005

ISSN: 0003-4932

DOI: 10.1097/01.sla.0000190050.16795.50