J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1671KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(9): 1008-1010, 1982

Report on the annual meeting

POST-OPERATIVE ANAL CONTINENCE OF SPHINCTER-SAVING METHOD FOR CARCINOMA OF RECTUM

Colo-proctology Center, Social Insurance Central Hospital, Tokyo

Mitsuo Okada, Jun-ichi Iwadare, Toru Yanagita, Sunao Tsukamoto, Shigeyoshi Koo, Yukio Sumikoshi

In the past twenty-two years, four-hundred- and -two patients with carcinoma of rectum underwent surgical treatment. Mile's Operation was indicated in 232 cases, Hartmann's operation in 19, anterior resection in 62, pull-through method in 46, local resection in 17 and palliative colostomy in 26. Sphincter-saving methods were recently more indicated.
Anal continence was investigated about 64 of 108 patients performed by the anterior resection and pull-through methods.
The majority of the patients attained normal continence post-operatively in about a half of a year, when they were troubled by frequent small motions, failed control of flatus and liquid feces and etc., according to breadth of remained intact rectal canal. The uncomfortable results were observed in the patients with elderly stage, the narrow breadth of the remained rectal canal, inflammation or leakage of anastomosis followed by stenosis and impaired levator muscle.

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