title: Abdomino-sacral approach for coloanal anastomosis for lower rectal cancer.
abstract: The abdomino-sacral approach is an important and essential procedure for surgery on a recto-anal lesion. The sacral approach had been applied since the former century, but the abdomino-sacral approach was not completely established. The sacral wound dehiscence is a common associated morbidity. It is very difficult for a surgeon who needs this procedure to find a text that contains all the techniques required. Thus, most surgeons have not understood this procedure, and have not known the capabilities of and indications for this approach. The abdomino-sacral approach to lower rectal cancer and/or lesions located there, is described. Especially advantages such as the improved skin incision and the colo-anal anastomosis using this approach are mentioned.
authors.affiliation: First Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Tani
authors.forename: Y
authors.initials: Y
authors.lastname: Endo
authors.forename: M
authors.initials: M
authors.lastname: Kodama
mesh_terms: D000005:Abdomen / Q000601:surgery; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012445:Sacrococcygeal Region