Titlebook: Intersphincteric Resection for Low Rectal Tumors; Rudolf Schiessel,Peter Metzger Book 2012 Springer-Verlag/Wien 2012 intersphincteric rese

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Engaged

Indecisive

xanthelasma

inveigh

The pathological assessment of the surgical specimens originating from the lower rectum and anal canated from each other and they both show the signs of proliferative activity when they get in contact with the bundles of the smooth muscles deriving from the outer longitudinal layer of the rectal wall. As a result both the levator ani and the external sphincter grow larger and get in contact (Fig. 1).

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Laparoscopic intersphincteric resection for ultra-low rectal cancerge for many years. The first surgeon to report excising the rectum successfully was Jacques Lisfanc in 1826 [1]. The most important recent advance in rectal cancer surgery has been the advent of total mesorectal excision (TME), as proposed by Heald in 1982 [2].

拥挤前

Transanal abdominal transanal proctosigmoidectomy with descending coloanal anastomosis (the TATA proarks the midpoint. Therefore, a tumor at the 5 cm level measured from the anal canal could range anywhere in this location from the mid rectum to the upper aspects of the anal canal, depending on the anal canal length.