LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER

Proctectomy with total mesorectal excision, resection of the internal sphincter, deep portions of the external sphincter and reductionwas performed on nine patients aged from 38 to 74 years with adenocarcinoma of low rectal cancer (T2N0M0 (n = 4), T2N1M0 (n = 1), T3N0M1 (n = 3), T4N2M1 (n = 1)), loc...

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Main Authors: S. R. Bashirov, M. N. Trifonov, V. I. Tikhonov, M. Yu. Grishchenko
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2014-10-01
Series:Бюллетень сибирской медицины
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Online Access:https://bulletin.ssmu.ru/jour/article/view/200
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author S. R. Bashirov
M. N. Trifonov
V. I. Tikhonov
M. Yu. Grishchenko
author_facet S. R. Bashirov
M. N. Trifonov
V. I. Tikhonov
M. Yu. Grishchenko
author_sort S. R. Bashirov
collection DOAJ
description Proctectomy with total mesorectal excision, resection of the internal sphincter, deep portions of the external sphincter and reductionwas performed on nine patients aged from 38 to 74 years with adenocarcinoma of low rectal cancer (T2N0M0 (n = 4), T2N1M0 (n = 1), T3N0M1 (n = 3), T4N2M1 (n = 1)), located in 8–25 mm from an anus. Simultaneously, atypical resections of the liver were performed on two of the patients. In the perineal section of the reduced intestine a sphincter was created from a smooth muscle cuff, a levator from not free serous, and a muscular flap, fixed to a forward wall of the small basin, and a reservoir of cross stitched submucosa site formed after the formation of a levator.  5 of the patients (T2N0-1M0)had no disease advance 3–9 years. They were able to hold firm feces, but were less able to hold liquid feces, and sometimes didn’t hold intestinal gas or differentiate between feces and gas, but were capable of ignoring an urge to defecate and to detain a defecation (level of a fecal continence on a scale of "Wexner score" (11 ± 1) of points).
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spelling doaj-art-5e111aebee1e4403a858df50ed8c6b6a2025-08-20T03:21:42ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842014-10-0113551110.20538/1682-0363-2014-5-5-11198LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCERS. R. Bashirov0M. N. Trifonov1V. I. Tikhonov2M. Yu. Grishchenko3Siberian State Medical University, TomskSiberian State Medical University, Tomsk; Branch no. 7 “1602 the District Military Clinical Hospital” the Ministry of Defense of the Russian Federation, MaykopSiberian State Medical University, TomskSiberian State Medical University, TomskProctectomy with total mesorectal excision, resection of the internal sphincter, deep portions of the external sphincter and reductionwas performed on nine patients aged from 38 to 74 years with adenocarcinoma of low rectal cancer (T2N0M0 (n = 4), T2N1M0 (n = 1), T3N0M1 (n = 3), T4N2M1 (n = 1)), located in 8–25 mm from an anus. Simultaneously, atypical resections of the liver were performed on two of the patients. In the perineal section of the reduced intestine a sphincter was created from a smooth muscle cuff, a levator from not free serous, and a muscular flap, fixed to a forward wall of the small basin, and a reservoir of cross stitched submucosa site formed after the formation of a levator.  5 of the patients (T2N0-1M0)had no disease advance 3–9 years. They were able to hold firm feces, but were less able to hold liquid feces, and sometimes didn’t hold intestinal gas or differentiate between feces and gas, but were capable of ignoring an urge to defecate and to detain a defecation (level of a fecal continence on a scale of "Wexner score" (11 ± 1) of points).https://bulletin.ssmu.ru/jour/article/view/200low rectal cancerproctectomyformation of a sphincter, levator, reservoir in a perineum
spellingShingle S. R. Bashirov
M. N. Trifonov
V. I. Tikhonov
M. Yu. Grishchenko
LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
Бюллетень сибирской медицины
low rectal cancer
proctectomy
formation of a sphincter, levator, reservoir in a perineum
title LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
title_full LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
title_fullStr LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
title_full_unstemmed LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
title_short LONG-TERM RESULTS OF PROCTECTOMY WITH THE RECONSTRUCTION OF THE SPHINCTER, LEVATOR AND RESERVES-STORAGE TANK WITH LOW RECTAL CANCER
title_sort long term results of proctectomy with the reconstruction of the sphincter levator and reserves storage tank with low rectal cancer
topic low rectal cancer
proctectomy
formation of a sphincter, levator, reservoir in a perineum
url https://bulletin.ssmu.ru/jour/article/view/200
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AT mntrifonov longtermresultsofproctectomywiththereconstructionofthesphincterlevatorandreservesstoragetankwithlowrectalcancer
AT vitikhonov longtermresultsofproctectomywiththereconstructionofthesphincterlevatorandreservesstoragetankwithlowrectalcancer
AT myugrishchenko longtermresultsofproctectomywiththereconstructionofthesphincterlevatorandreservesstoragetankwithlowrectalcancer