Intersphincteric Resection for Low Rectal Tumors [Paperback]

The work describes a new method of sphincter salvage in surgery of rectal cancer. Low tumors of the rectum are traditionally treated with amputation of the rectum. However, this operation is not well-received by patients, since it results in a permanent colostomy. By contrast, intersphincteric resection allows sphincter salvage even in low tumors and is now widely accepted among experts in the field of colorectal surgery. The book will describe the basics (pathology,physiology, radiology) as well as the surgical technique and its different modifications.

This volume describes a new method of salvaging the sphincter in surgery for rectal cancer. Where before rectal tumors were often treated with amputationunderstandably unpopular with patientsthis method allows sphincter salvage even in low tumors.

Preface .- Preoperative diagnostic procedures: Pathology of rectal cancer .- MRT for staging .- Preoperative therapeutic options: Preoperative? chemoradiotherapy .- Rectal surgery: Surgical anatomy of the pelvis .- Basics of rectal cancer surgery .- Development of intersphincteric resection .- Surgical technique of ISR .- Laparoscopic technique .- Experience in France .- Modification of? ISR .- Our technique of ISR .- Experience in Japan .- Experience in China .- Experience in Germany .- Sphincter restoration after APR .- Laparoscopic ISR .- ISR with reconstruction of the internal sphincter .- Quality of life after very low rectal resections .- Do we need a pouch for reconstruction?

Univ.-Prof. Dr. Rudolf Schiessel, Director of Ludwig Boltzmann Institute for Surgical Oncology, Vienna

Univ.-Doz. Dr. Peter Metzger, Oberarzt, Sozialmedizinisches Zentrum Ost - Donauspital, Vienna

The work describes a new method of sphincter salvage in surgery of rectal cancer. Low tumors of the rectum are traditionally treated wló=