RT Journal
A1 Read TE, Kodner IJ
T1 PRoctectomy and coloanal anastomosis for rectal cancer
JF Archives of Surgery
JO Archives of Surgery
YR 1999
FD June 1
VO 134
IS 6
SP 670
OP 677
DO 10.1001/archsurg.134.6.670
UL http://dx.doi.org/10.1001/archsurg.134.6.670
AB Fueled by a greater understanding of pelvic physiology along with an improved comprehension of rectal cancer spread, we are now able to offer most patients restoration of intestinal continuity following oncologic proctectomy. Coloanal or ultralow colorectal anastomosis can be performed in most patients with midrectal cancers, provided that anal sphincter function is not impaired preoperatively. Functional results may be improved by construction of a colonic pouch with pouch-anal anastomosis. Temporary fecal diversion, usually with a diverting loop ileostomy, may be prudent, especially in patients undergoing neoadjuvant chemoradiation.