Local Excision of Rectal Cancer
Fig. 43.1 (a–c) Transanal excision. (a) A transanal excision is performed by marking out a 1 cm or greater margin around the tumor. (b) A full-thickness excision is then performed…
Fig. 43.1 (a–c) Transanal excision. (a) A transanal excision is performed by marking out a 1 cm or greater margin around the tumor. (b) A full-thickness excision is then performed…
Age of diagnosis A1 <16 years A2 17–40 years A3 >40 years Location L1 ileal L2 colonic L3 ileocolic L4 isolated upper Behavior B1 nonstricturing nonpenetrating B2 stricturing B3 penetrating …
Type of test Measured modality Primary indication Test of function Anorectal manometry Function of anal sphincter Fecal incontinence, nonrelaxation of the pelvic floor, Hirschsprung’s disease Rectoanal reflexes Anorectal sensation Rectal…
Fig. 20.1 (a, b) Terminology for location of anal and perianal lesions. Tumors A, B, and C represent ANAL lesions that are not visible or are incompletely visible while gentle…
Type of incontinence Frequency Never Rarely Sometimes Usually Always Solid 0 1 2 3 4 Liquid 0 1 2 3 4 Gas 0 1 2 3 4 Pad usage 0…
Etiology N (%) Diverticulosis 227 (37.34) Hemorrhoids 128 (21.05) Neoplasia 72 (11.84) Colitis 65 (10.69) Inflammatory bowel disease 33 (5.43) Vascular ectasias 14 (2.30) Other colonic disease 40 (6.58) Small-intestine…
Fig. 41.1 The drawing demonstrates the incision made at the root of the right colon mesentery just caudal to the third portion of the duodenum to the right of the…
Fig. 45.1 (a) A primary T3N0M0 rectal cancer treated with a lower anterior resection without adjuvant therapy. The anterior recurrent tumor fixed at the base of the bladder was treated…
Location Morphology Number of quadrants involved Degree of fixation Mobility Extrarectal growths Direct continuity with other structures (vagina) DRE alone is considered inadequate in the staging of rectal cancer. Rectal…