title: Graciloplasty for internal and external sphincteric resection of lower rectal cancer.
abstract: Anal sphincteric resection for rectal cancer is most commonly followed by colostomy in the lower abdominal wall, which enforces quite a poor quality of life due to a permanent stoma. For surgeons treating lower rectal cancer, the goal is to achieve defecation via the anus without placing a stoma. Internal sphincteric resection, partial external sphincteric resection and coloanal anastomosis have been reported for the treatment of lower rectal cancer with avoiding a colostoma. Extended resection of the external sphincter, however, limits patient's daily activities because of poor functional results and necessitates reconstruction of damaged anal function. This paper describes a case of graciloplasty for postoperative anal dysfunction that yielded a good clinical outcome in a 65-year-old female who had undergone very low anterior resection with complete internal and partial external sphincteric resection for lower rectal cancer.
authors.affiliation: Kurume Coloproctology Center, Kurume 839-0865, Japan. Yasumi_7891@yahoo.co.jp
authors.forename: Yasumi
authors.initials: Y
authors.lastname: Araki
authors.forename: Kazuya
authors.initials: K
authors.lastname: Momosaki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Nozoe
authors.forename: Katsumi
authors.initials: K
authors.lastname: Hayashi
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Yamada
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Kanazawa
authors.forename: Akemi
authors.initials: A
authors.lastname: Inoue
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Noake
authors.forename: Masahiro
authors.initials: M
authors.lastname: Takano
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shirouzu
mesh_terms: D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation*; D012004:Rectal Neoplasms / Q000601:surgery*