Selection and evaluation of surgical approaches for low rectal cancer
WANG Jian-ping
Abstract：The differences of surgeon's experience and the patients individual often lead to diffent operation effects.Low rectal cancer is common in Chinese rectal cancer patients,and it has various surgical approaches.Dixon is the most satisfactory operation for the radical resection and sphincter preservation.Transanal and transsacrococcygeal local excision are applied to early low rectal cancer.Transanal TME is appropriate for young men with obesity or narrow pelvis.Hartmann is for elderly patients who can not tolerate surgery or have anorexia dysfunction.Parks is suitable for tumors 4 to 6 cm up to the dentate line and can not be performed with Dixon or stapler anastomosis.Bacon is for patients with fistula.Intersphincteric resection is a sphincter-preserving surgery for early rectal cancer that is lower than the above-mentioned tumors.APR and extralevator APE are for patients without sphincter preservation.It is necessary to choose surgical approaches based on patient's condition and surgeon's experience,and assess the quality of surgery.Both radical resection and function preservation are focused in low rectal cancer now.However,it is essential to define the indications for sphincter preservation and choose an appropriate surgical approach.
Keywords：low rectal cancersurgical approachessurgical qualitysphincter preservation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 593-595 )