In view of the distressing disturbances during the first post-operative year, a sphincter-saving operation involving a low anastomosis has very doubtful merits when life expectancy is short. Thus, in a patient with a low rectal carcinoma and distant metastasis, a well functioning abdominal colostomy probably offers a better quality of life. Moreover, although the radicality of the operation is probably equivalent to that after abdominoperineal excision, the development of a local pelvic recurrence will give early and distressing symptoms, which requires abdominoperineal excision. Unfortunately this operation, if possible to perform, will seldom be curative. Therefore a restorative operation for a low-sited rectal cancer should be reserved for mainly limited growths with low-grade malignancy. Endo-anal anastomosis should only be considered for small tumours where adequate distal clearance cannot be obtained even by stapled low anterior resection.
Was this article helpful?
Are You Striving To Look And Feel Youthful? Wish You Could Add 20 Years To Your Life? Discover the Secrets to a Longer, Healthier Life With This Fantastic Anti-Aging Resource. You might be feeling and looking great now, but have you ever thought about what youll feel and look like several years from now? Have you ever considered that the choices you make today directly influence how well you age?