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Sphinktererhaltende Operationen

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Speiseröhre Magen Darm

Part of the book series: Die Praxis der Chirurgie ((PRAXCHIR))

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Zusammenfassung

Es wurden verschiedene Arten von sphinktererhaltenden Operationsmethoden beschrieben [19]. Sie unterscheiden sich hauptsächlich darin, wieviel Dickdarm im Bereich des Rektums entfernt wird. Zum einen kann das gesamte Rektum und der anale Sphinkterapparat entfernt und Kolon oder Ileum am äußeren Analring anastomosiert werden. Dies ist das Prinzip der Swenson-Operation zur Behandlung der Hirschsprung-Erkrankung [29]. Es ist auch möglich, die äußeren und inneren Sphinkteren zu erhalten, die Rektumschleimhaut zu entfernen und das obere Sigma oder das Ileum durch diesen Muskelschlauch mit einer Anastomose am Anus hindurchzuziehen; dies ist das Operationsverfahren nach Soave [27]. Das Verfahren nach D’Allaines verbindet die tiefe anteriore Präparation mit einer Anastomosierung des Sigmas ans Rektum in Höhe des Dammes; man erhält dabei den Analkanal und 3–4 cm des unteren Rektums [6]. Black beschrieb einen endorektalen Zugang, der die untersten 2–3 cm der Rektumschleimhaut und den unteren Teil des Sphinkterapparates erhält [4]. Bacon erhielt die Sphinkteren nach einer kombinierten abdominoperinealen Darstellung [1].

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Literatur

  1. Bacon HE (1949) Anus-rectum-sigmoid colon. Diagnosis and treatment, 3rd edn, Vol 1. Lippincott, Philadelphia

    Google Scholar 

  2. Baker JW (1977) Side-to-end colorectal anastomosis. In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 31

    Google Scholar 

  3. Bennett RC, Buls J, Kennedy JT, et al (1973) The physiologic status of the anorectum after pull-through operations. Surg Gynecol Obstet 136:907

    PubMed  CAS  Google Scholar 

  4. Black BM (1969) Combined abdomino-endorectal resection. In: Turell R (ed) Diseases of the colon and anorectum. 2nd edn, Vol 1. Saunders, Philadelphia, p 555

    Google Scholar 

  5. Coran AG, Weintraub WH (1976) Modification of the endorectal procedure for Hirschsprung’s disease. Surg Gynecol Obstet 143:277

    PubMed  CAS  Google Scholar 

  6. D’Allaines F (1946) Traitement chirurgical du cancer du rectum. Editions Médicales Flammarion, Paris

    Google Scholar 

  7. Dixon CF (1939) Surgical removal of lesions occurring in the sigmoid and rectosígmoid. Am J. Surg 46:12

    Article  Google Scholar 

  8. Donaldson GA, Rodkey GV, Behringer GE (1966) Resection of the rectum with anal preservation. Surg Gynecol Obstet 123:571

    PubMed  CAS  Google Scholar 

  9. Gardner B, Kottmeier P, Harshaw D (1973) A modified one-stage pull through operation for carcinoma or prolapse of the rectum. Surg Gynecol Obstet 136:95

    PubMed  CAS  Google Scholar 

  10. Gilchrist RK, David VC (1938) Lymphatic spread of carcinoma of the rectum. Ann Surg 108:621

    Article  PubMed  CAS  Google Scholar 

  11. Goldsmith HS (1977) Protection of low rectal anastomosis with intact omentum. Surg Gynecol Obstet 144:584

    PubMed  CAS  Google Scholar 

  12. Goligher JC (1977) Anterior resection of the rectum: One-layer and two-layer anastomoses. In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 13

    Google Scholar 

  13. Hochenegg J (1900) Meine Operationserfolge bei Rektumkarcinom. Wien Klin Wochenschr 13:399

    Google Scholar 

  14. Kratzer GL, Win MS (1970) Low anterior resection in cancer of the rectum. Am J. Surg 119:649

    Article  PubMed  CAS  Google Scholar 

  15. Localio SA (1971) Abdominal-transsacral resection and anastomosis for midrectal carcinoma. Surg Gynecol Obstet 132:123

    PubMed  CAS  Google Scholar 

  16. Localio SA (1977) Abdominosacral rectal resection (right lateral exposure). In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 37

    Google Scholar 

  17. Localio SA, Eng K (1975) Malignant tumors of the rectum. Curr Probl Surg (Sept) 12:1

    Article  Google Scholar 

  18. Localio SA, Eng K, Gouge TH, et al (1978) Abdominosacral resection for carcinoma of the midrectum:10 years experience. Ann Surg 188:475

    Article  PubMed  CAS  Google Scholar 

  19. Malt RA (ed) (1977) Surgical techniques illustrated, Vol 2, No 1. Little, Brown, Boston

    Google Scholar 

  20. Martin LW, LeCoultre C, Schubert WK (1977) Total colectomy and mucosal protectomy with preservation of continence in ulcerative colitis. Ann Surg 186:477

    Article  PubMed  CAS  Google Scholar 

  21. Mason AY (1976) Selective surgery for carcinoma of the rectum. Aust NZ J Surg 46:322

    CAS  Google Scholar 

  22. Mason AY (1977) Transsphincteric surgery for lower rectal cancer. In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 71

    Google Scholar 

  23. McLachlin AD, Olsson LS, Pitt DF (1976) Anterior anastomosis of the rectosigmoid colon: An experimental study. Surgery 80:306

    PubMed  CAS  Google Scholar 

  24. Parks AG (1977) Endoanal technique of low colonic anastomosis. In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 63

    Google Scholar 

  25. Rodkey GV (1977) Abdominosacral resection of rectum (d’Allaines’ exposure). In: Malt RA (ed) Surgical techniques illustrated, Vol 2, No 2. Little, Brown, Boston, p 49

    Google Scholar 

  26. Schweiger M, Schellerer W, Kiypers G (1977) Continence after low anterior resection of the rectum. Langenbecks Arch Chir 343:281

    Article  PubMed  CAS  Google Scholar 

  27. Soave F (1964) Hirschsprung’s disease: New surgical technique. Arch Dis Child 38:116

    Article  Google Scholar 

  28. Stewart WRC, Samson RB (1968) Rectal tube decompression of left-colon anastomosis. Dis Colon Rectum 11:452

    Article  PubMed  CAS  Google Scholar 

  29. Swenson O (1950) A new surgical treatment for Hirschsprung’s disease. Surgery 28:371

    PubMed  CAS  Google Scholar 

  30. Waugh JM, Miller EM, Kurzweg FT (1954) Abdominoperineal resection with sphincter preservation for carcinoma of the midrectum. Arch Surg 68:469

    Google Scholar 

  31. Yancey AG, et al (1952) A modification of the Swenson technique for congenital megacolon. J Natl Med Assoc 44:356

    PubMed  CAS  Google Scholar 

Zusätzliche Literatur

  • Kennedy HL, Langevin JM, Goldberg SM, et al (1985) Recurrence following stapled coloproctostomy for carcinomas of the mid portion of the rectum. Surg Gynecol Obstet 160:513

    PubMed  CAS  Google Scholar 

  • Williams NS, Dixon MF, Johnston D (1983) Reappraisal of the 5 centimetre rule of distal excision for carcinoma of the rectum: a study of distal intramural spread and of patients survival. Br J Surg 70:150

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Section of Gastroenterologic and General Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, 55905, USA

    William H. ReMine M.D., M.S. (Surg.), D.Sc. (Hon.), F.A.C.S. (Emeritus Professor of Surgery, Mayo Medical School; Emeritus Consultant)

  2. Section of Thoracic and Cardiovascular Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, 55905, USA

    W. Spencer Payne M.D., M.S., F.A.C.S. (Professor of Surgery, Mayo Medical School; Consultant)

  3. Section of Gastroenterologic and General Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, 55905, USA

    Jon A. van Heerden M.B., Ch.B. (Cape Town), F.R.C.S. (C), F.A.C.S. (Professor of Surgery, Mayo Medical School; Consultant)

  4. Massachusetts General Hospital, Warren Building, 275 Charles Street, Boston, MA, 02114, USA

    Claude E. Welch M.D., D.Sc., F.A.C.S. (Clinical Professor of Surgery Emeritus at Harvard Medical School, Senior Surgeon)

  5. Massachusetts General Hospital, Ambulatory Care Building, 15 Parkman Street, Boston, MA, 02114, USA

    Leslie W. Ottinger M.D., F.A.C.S. (Harvard University Associate Professor of Surgery at the Massachusetts General Hospital; Visiting Surgeon)

  6. University of Connecticut, 85 Jefferson Street, Hartford, CT, 06106, USA

    John P. Welch M.D., F.A.C.S. (Adjunct Assistant Professor of Surgery at Dartmouth Medical School; Associate Professor of Surgery)

Authors
  1. William H. ReMine M.D., M.S. (Surg.), D.Sc. (Hon.), F.A.C.S.
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  2. W. Spencer Payne M.D., M.S., F.A.C.S.
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  3. Jon A. van Heerden M.B., Ch.B. (Cape Town), F.R.C.S. (C), F.A.C.S.
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  4. Claude E. Welch M.D., D.Sc., F.A.C.S.
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  5. Leslie W. Ottinger M.D., F.A.C.S.
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  6. John P. Welch M.D., F.A.C.S.
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© 1987 Springer-Verlag Berlin Heidelberg

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ReMine, W.H., Payne, W.S., van Heerden, J.A., Welch, C.E., Ottinger, L.W., Welch, J.P. (1987). Sphinktererhaltende Operationen. In: Speiseröhre Magen Darm. Die Praxis der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69609-1_14

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  • DOI: https://doi.org/10.1007/978-3-642-69609-1_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69610-7

  • Online ISBN: 978-3-642-69609-1

  • eBook Packages: Springer Book Archive

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