Sphincter-saving and reconstruction techniques following rectal cancer resection

Low anterior resection and coloanal anastomosis are often associated with significant impairments in anorectal function, changes that adversely affect the quality of life of patients undergoing resective surgery for rectal cancer. In an attempt to improve the functional results of sphincter-saving procedures, new reconstructive techniques such as the colonic pouch and the tranverse coloplasty have been reported. This article will describe technical aspects as well as functional and oncologic results for sphincter-saving and reconstructive procedures that are performed for rectal cancer.