| Theme |
Current Topics Relating to the Anus |
| Title |
Sphincter-preserving Surgery for Low Rectal Cancer should be done through the Concideration of Postoperative Defecatory Functions and QOL |
| Author |
Megumi Ishiguro |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| Author |
Masamichi Yasuno |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| Author |
Masayuki Enomoto |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| Author |
Tetsuro Higuchi |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| Author |
Hirotoshi Kobayashi |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| Author |
Kenichi Sugihara |
Department of Surgical Oncology, Graduate School, Tokyo Medical and Dental University |
| [ Summary ] |
Most patients who undergo sphincter-preserving surgery (SPS) for rectal cancer suffer from impaired defecatory functions causing poor QOL and limitation of social activities, especially elderly patients with low rectal cancers. For patients with adequate support systems for their daily lives, permanent colostomy combined with abdominoperineal excision may be the preferred treatment. Although a distal clearance margin of 2 cm is recommended for curative resection of rectal cancer, the decision to perform SPS may be made based on considerations of oncological curability, postoperative defecatory functions and QOL. |