The new view at inter-sphincter resection in case of cancer of inferior ampullar section of rectum
Inna Andreevna Tulina , Aleksandr Yur’evich Kravtchenko , Armen Oganesovich Tananiyan , M. I Bredikhin , Petr Vladimirovich Tsarkov
Russian Medicine ›› 2014, Vol. 20 ›› Issue (2) : 22 -23.
The new view at inter-sphincter resection in case of cancer of inferior ampullar section of rectum
The article presents the three step surgery technique of laporoscopy inter-sphincter resection of rectum because of cancer of its inferior ampullar section. The distinguishing characteristic of this technique is compliance of “no-touch” principle (without touching the tumor). This approach consists of primary isolation of segment of intestine with tumor at the expense of ligation of feeding vessels and blocking lumen of intestine more distal towards the tumor. Then mobilization of rectum is made with implementation of total mesorectumectomy. This approach can promote improvement of long-term oncological results of surgery.
cancer / rectum / surgery / treatment / laporoscopy operation
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