Functional outcomes of intersphincteric resection in low rectal tumors

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dc.contributor.authorBozbiyik, Osman
dc.contributor.authorCaliskan, Cemil
dc.contributor.authorKose, Ozgun
dc.contributor.authorVerendag, Ozan
dc.contributor.authorGoktepe, Berk
dc.contributor.authorYoldas, Tayfun
dc.contributor.authorAkgun, Erhan
dc.date.accessioned2023-01-12T20:17:11Z
dc.date.available2023-01-12T20:17:11Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractObjective: Currently, sphincter-saving procedures are increasingly performed in the treatment of low rectal cancers. This study aimed to evaluate the outcomes of patients who underwent intersphincteric resection. Material and Methods: This was a single-center, retrospective, cross-sectional study. We evaluated the electronic data files of 29 patients who had intersphincteric resections at our institute between 2008 and 2018. Bowel function outcomes were assessed prospectively using Wexner incontinence score. Histopathological, surgical and functional outcomes were analyzed. Results: Mean age of nine female and 20 male patients included in the study was 55.8 +/- 12.8 (30-76) years. A tumor-free surgical margin was achieved in all patients. Anastomotic leakage was detected in two patients. Mean Wexner incontinence score of 20 patients who still had functional anastomosis was 8.35, whereas 65% of the patients (n= 13) had a good continence status. There was no relationship between the continence status and sex, tumor distance from anal verge, T stage, distal surgical margin, and lymph node involvement. Twenty-one patients underwent primary coloanal anastomosis and eight patients underwent two-stage coloanal anastomosis. Conclusion: In the treatment of distal rectal cancer, adequate oncological surgery and relatively acceptable functional outcomes can be obtained with intersphincteric resection technique in suitable patients.en_US
dc.identifier.doi10.47717/turkjsurg.2022.5556
dc.identifier.endpage186en_US
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue2en_US
dc.identifier.pmid36483164en_US
dc.identifier.startpage180en_US
dc.identifier.urihttps://doi.org/10.47717/turkjsurg.2022.5556
dc.identifier.urihttps://hdl.handle.net/11454/78837
dc.identifier.volume38en_US
dc.identifier.wosWOS:000864534500010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Surgical Assocen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFecal incontinenceen_US
dc.subjectrectum canceren_US
dc.subjectrectum resectionen_US
dc.subjectoutcome assessmenten_US
dc.subjectFecal Incontinenceen_US
dc.subjectColoanal Anastomosisen_US
dc.subjectCanceren_US
dc.titleFunctional outcomes of intersphincteric resection in low rectal tumorsen_US
dc.typeArticleen_US

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