• Department of General Surgery, People’s Hospital of Bao An, Shenzhen 518101;
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Objective  To investigate the prevention of gangrene of exteriorized colon following transabdomino-perineal saving sphincter resection of rectal cancer.
Methods  From Aug. 1988 to Feb. 2000, 46 cases of cancer of the rectum were treated by transabdominoperineal saving sphincter with severing the anal sphincters and anorectal ring. During this procedure the anal sphincters and anorectal ring were severed to prevent gangrene of the exteriorized colon.
Results  In these cases, the exteriorized sigmoid colon had good blood supply and no gangrene was found. Conclusion  This method can effectively prevent the gangrene of exteriorized sigmoid colon stump and gives no permanent fecal incontinence.

Citation: SHI Lizhi,HU Ke.. PREVENTION OF COLONIC NECROSIS IN TRANSABDOMINO-PERINEAL SAVING SPHINCTER RESECTION IN TREATMENT OF RECTAL CANCER (REPORT OF 46 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(6): 375-376. doi: Copy