[Basic principles of rectal excision].
Rectal excision has decreased by half in favour of anterior resection of the rectum. The following points should be observed during operation: (1) dissection close to the rectal wall to avoid injury to the sacral veins and nerves for both bladder and sexual function; (2) ligature of the sup. rectal artery; ligature of the inf. mesent. artery has not been established to be advantageons; (3) avoidance of tumor perforation; (4) primary occlusion of the sacral cavity with extravulnar suction drainage. The results are as follows: 5-6% death rate in the literature and 2.4% in our own patients; bladder dysfunction in 3.5-59%; sexual dysfunction 14-36%; impotence 14-28%; local recurrence 39-57% with and 34% without perforation.
Häring
R
R
Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Freien Universität Berlin.
Karavias
T
T
Boese-Landgraf
J
J
D003125:Colostomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate
Grundprinzipien der Rektumexstirpation.