Aşağı Anterior Rezeksiyon

Yıl 2018, Cilt: 40 Sayı: 1, 110 - 115, 31.01.2018

Bartu Badak Ersin Ateş

https://doi.org/10.20515/otd.303908

Öz

Rektum
tümörlerinde rezeksiyonun genişliği ve anastomozun düzeyi tümörün yerleşimine
göre değişir. Aşağı anterior rezeksiyon tanımı (AAR) rektum rezeksiyonundan
sonra anastomoz düzeyinin peritoneal refleksiyonun altında kaldığı ameliyatları
tanımlar.

Anahtar Kelimeler

anastomoz, rektum, tümör

Lower Anterior Resection

Öz

The level of the resection of the
rectum and the rectal anastomosis depends on the location of the tumor. Low
anterior resection (LAR) defines the operations in which anastomosis are
located below the peritoneal reflection after the removal of some part of the
rectum. Generally, LAR is the type of operation preferred for tumors located in
the upper or middle 1/3 of the rectum. It can be performed transabdominally
with open, laparoscopic or robotic techniques, depending on the experience of
the surgeon. Laparoscopic and robotic methods have the advantages of less
postoperative pain, early going back to work, less postoperative hernia and
sexual dysfunctions.

Anahtar Kelimeler

anastomoz, rektum

Kaynakça

• 1. Heald RJ. A new approach to rectal cancer. Br J Hosp Med 1979;22:277-281
• 2. Enker WE. Total mesorectal excision: the new golden standard of surgery for rectal cancer. Ann Med. 1977;29:127-133
• 3. Guillem JG, Cohen AM. Current issues in colorectal cancer surgery. Semin Oncol 1999;26:505-513
• 4. Moynihan BG. The surgical treatment of cancer of the sigmoid flexure and rectum: with special reference to the principles to be observed. Surg Gynecol Obstet 1908;6:436-438
• 5. Ridgway PF, Darzi AW. The role of total mesorectal excision in the management of rectal cancer. Cancer Control 2003;10:205-211
• 6. Enker WE, Thaler HT, Cranor ML, et al. Total mesorectal excision in the operative treatment of carcinoma of the rectum. J Am Coll Surg 1995;181:335-346
• 7. Sterk P, Keller L, Jochims H, et al. Lymphoscintigraphy in patients with primary rectal cancer: the role of total mesorectal excision for primary rectal cancer. A lymphoscintigraphic study. Int J Colorectal Dis 2002;17:137-142
• 8. Kirwan WO, Drumm J, Hogan JM, Keohane C. Determining a safe margin of resection in low anterior resection for rectal cancer. Br J Surg 1988;75:720
• 9. Law WL, Chu KW. Strategies in the management of mid and distal rectal cancer with total mesorectal excision. Asian J Surg 2002;25:255-264
• 10. Leong AF. Selective total mesorectal excision for rectal cancer. Dis Colon Rectum 2000;43:1237-1240