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Laparoscopic intersphincteric resection for ultra-low rectal cancer

  • Chapter
Intersphincteric Resection for Low Rectal Tumors

Abstract

Local control of rectal cancer and patient survival has improved remarkably with advances in surgical techniques and adjuvant therapy. Because surgery is the only potentially curative treatment, progression in surgical management has played a central role. Historically, the earliest surgical approaches to rectal cancer were via the perineum. As surgical techniques and general anesthesia improved, other approaches such as a posterior approach were undertaken to improve access to the whole rectum. Consequently, abdominoperineal resection became the standard treatment until anterior resection was introduced for proximal rectal cancers. Abdominoperineal resection was the standard treatment for very low rectal cancer below 5 cm from the anal verge for many years. The first surgeon to report excising the rectum successfully was Jacques Lisfanc in 1826 [1]. The most important recent advance in rectal cancer surgery has been the advent of total mesorectal excision (TME), as proposed by Heald in 1982 [2].

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Authors and Affiliations

  1. Gastroenterological Surgery, Department of Surgery, University Vita-Salute San Raffaele, Via Olgettina, 60- 20132, Milano, Italy

    Carlo Staudacher MD (Professor of Surgery Director Gastroenterological Surgery) & Elena Orsenigo MD, FACS

Authors
  1. Carlo Staudacher MD
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  2. Elena Orsenigo MD, FACS
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Corresponding author

Correspondence to Elena Orsenigo MD, FACS .

Editor information

Editors and Affiliations

  1. Ludwig Boltzmann Institute for Surgical Oncology, Vienna, Austria

    Rudolf Schiessel MD

  2. Surgical Department, Danube Hospital, Vienna, Austria

    Peter Metzger MD, PhD

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Staudacher, C., Orsenigo, E. (2012). Laparoscopic intersphincteric resection for ultra-low rectal cancer. In: Schiessel, R., Metzger, P. (eds) Intersphincteric Resection for Low Rectal Tumors. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0929-8_9

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  • DOI: https://doi.org/10.1007/978-3-7091-0929-8_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0928-1

  • Online ISBN: 978-3-7091-0929-8

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