TY  - JOUR
T1  - PRoctectomy and coloanal anastomosis for rectal cancer
AU  - Read TE, Kodner IJ
Y1  - 1999/06/01
N1  - 10.1001/archsurg.134.6.670
JO  - Archives of Surgery
SP  - 670
EP  - 677
VL  - 134
IS  - 6
N2  - 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.
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.134.6.670
UR  - http://dx.doi.org/10.1001/archsurg.134.6.670
ER  -