Quality of Life Following Intersphincteric Resections for Low Rectal Cancer: Early Results [chapter]

Călin Molnar, Marian Botoncea, Claudiu Varlam Molnar, Vlad-Olimpiu Butiurca
2019 Cancer Survivorship  
Intersphincteric resections are part of the therapeutic arsenal that preserves the sphincterian apparatus. This chapter analyzes the evolution of rectal surgery leading up to intersphincteric resections, deals with anatomical and oncological aspects in rectal cancer, and finally shows our own personal experience with ISR in a series of 40 cases focusing on oncological outcomes, continence, and defecation. As a conclusion, intersphincteric resection represents a feasible therapeutic option in
more » ... hly selected cases that exempts the patient from the need of a permanent colostomy bag without compromising oncological principles. The Wexner score system is simple and effective in objectifying continence in patients that undergo this type of surgery.
doi:10.5772/intechopen.79727 fatcat:qahvmxmm3rc2fje5kimgwhaalu