It was reported via journal article: title: clinical assessment of short-term outcome of sphincter-sparing surgery in patients with low rectal carcinoma.Authors: emad hokkama; mohamed faisal; mohamed shams; ahmed gomaa; hamada fathey.Citation: egyptian j surgery 38:250¿256; doi: 10.4103/ejs.Ejs_185_18.The aim of this prospective study is to evaluate early outcome of sphincter-sparing surgery in patients with low rectal cancer.Between february 2014 and january 2017, 153 patients with proven endoscopic biopsy for primary low rectal carcinoma were enrolled in the study.During the procedure, the sigmoid colon was divided proximally, and the rectum was resected with distal safety margin of at least 1.5 cm with the help of ethicon contour curved cutter stapler (ethicon) to close the distal stump.Whenever possible, the anastomosis was established through the abdomen using the ethicon circular staplers (ecsa-29 and ecsa-33 stapler; ethicon) according to the diameter of rectum and sex of the patient.Reported complications included anastomotic leak (n=6) in which half of them were managed by repairing and saving the anastomosis whereas the other half were managed by definitive colostomy; pelvic abscess (n=7) which was treated by ultrasound-guided drainage; anastomotic stenosis (n=18) treated by manual dilation; grade ii incontinence (n=16); grade iii incontinence (n=8); grade iv incontinence (n=2).In conclusion, sphincter-sparing surgery for low rectal carcinoma is a good option to avoid permanent stoma with its associated morbidity and social and psychic effects.It has accepted oncological and functional outcomes.
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