Abdominal Anal Resections of the Rectum. Own Results. Intersfincter Resections. Controversial Issues

Abstract

The article presents current literature data on the eff ectiveness of intersphincteric resections, as well as a comparative analysis of their results of abdominal and anal resections of the rectum.A meta-analysis of foreign and domestic literature indicates that the incidence of postoperative mortality in intersphincteric resections of the rectum is 2%, complications – 10-15%, and fi ve-year survival is over 80%, but the functional consequences of operations want to be better because unsatisfactory results have a place in almost half of the patients.Our research shows that the mortality rate after abdominal and anal resections is 2.4%, postoperative complications – 15%, and fi ve-year survival – more than 77%. The functional results of abdominal and anal resections in low-ampullary rectal cancers were quite satisfactory in more than 90% of patients.Thus, intersphincteric resections of the rectum make it possible to preserve the closing function of the rectum after radical removal of malignant neoplasms of the lower ampullary and anal canal, but the use of this operation is controversial.In our opinion, it is necessary to more actively test the method of intersphincteric resection in the proctology departments of medical institutions of Ukraine.