[Short-term results of sphincter-preserving operation with intersphincteric resection in low rectal cancer].
OBJECTIVE
To report the operative experience and sphincter-preserving results of total mesorectal excision (TME) combined with intersphincteric resection (ISR) in treating low rectal cancer.


METHODS
From March 2000 to March 2007, 40 cases of patients with low rectal cancer were operated on: TME was performed transabdominally and ISR was performed transperineally. Postoperative anal function, local recurrence and metastasis were followed up.


RESULTS
All of the operations were successfully completed. There was no death of operation occurred. The patients were followed-up for 3 months to 7 years (mean, 34 months). Favorable anal function was reserved in 39 patients with Kirwan grade of 1 to 3. Anastomotic leakage occurred in 1 case and wound infection in 2 cases. Two cases recurred locally after operation and one of them died.


CONCLUSIONS
ISR can be safely performed in ultra-low rectal cancer, it preserves anal function well and offers radical cure.
Wang
Zhen-jun
ZJ
Department of General Surgery, Chaoyang Hospital, Capital Medical University, Beijing 100020, China. wang3zj@sohu.com
Wei
Guang-hui
GH
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008643:Mesentery / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome