Abstract
Die koloanale Anastomose (KAA) nach sehr tiefer vorderer oder intersphinktärer Resektion ist eine Möglichkeit für Patienten, bei denen die konventionelle abdominale vordere Resektion technisch nicht durchführbar ist. Bei geeigneter Patientenselektion sind onkologische Resultate zu erreichen, die mit denen nach abdominoperinealer Rektumexstirpation vergleichbar sind. Zur Vermeidung enttäuschender funktioneller Ergebnisse ist die präoperative Bestimmung der analen Sphinkterleistung obligat. Nach 6-12 Monaten kann eine befriedigende Kontinenz bei den meisten Patienten mit 1-2 Stuhlepisoden/24 h erreicht werden.
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© 1995 S. Karger AG, Basel
1995
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