Intersphincteric resection for low rectal cancer: the risk is functional rather than oncological. A 25-year experience from Bordeaux.
Quentin DenostJ-B MoreauV VendrelyB CelerierA RullierV AssenatE RullierPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2020)
Pushing the envelope of sphincter-saving resection in ultra-low rectal cancer reaching or invading the anal sphincter did not compromise oncological and functional outcomes. The main limitation of the ISR procedure appears to be functional rather than oncological, suggesting that bowel rehabilitation programmes should be developed.