Complications of elective surgery for rectal cancer

摘要: BACKGROUND: Standardization of surgery and new procedures have led to significant advances in the treatment rectal cancer. METHODS: Review on avoidance management complications cancer surgery. RESULTS: Anatomical dissection mesorectum permits optimal local control reduction recurrence. Sphincter preservation can be achieved by technique intersphincteric resection even for low tumours. A J-pouch or a recently designed coloplasty pouch improve functional results after coloanal anastomoses. Neoadjuvant treatments role disease TME strategies sphincter-saving procedures. Although perioperative morbidity elective is very low, radical patient's wish sphincter weighed against possible complications. The literature was carefully reviewed evaluate data procedure-specific impact neoadjuvant regimens postoperative morbidity. CONCLUSIONS: Meticulous attention detail achieve complication rates modern In experienced hands, total mesorectal excision operation not associated with increased mortality.