Main description:

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.

Contents:

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?