**5. Conclusions**

Intersphincteric resections seem to be a feasible option in highly selected cases with low rectal cancer that refuse the presence of a colostomy bag be it a temporary one.

Oncologic outcome is like that of classic procedures.

Functional outcomes are satisfactory following ISR from the patient's point of view.

Complications found in our small study group are "mild" and seldom met as compared to complications reported in the case of abdominoperineal resections.

TME total mesorectal excision

CT computed tomography

, Marian Botoncea<sup>2</sup>

\*Address all correspondence to: botonceam@gmail.com

Tîrgu-Mureș Emergency County Hospital, Tîrgu-Mureș, Romania

Emergency Clinical County Hospital, Tîrgu Mureș, România

Emergency Clinical County Hospital, Mureș County, România

logies. 2016;**25**(5):226-233. DOI: 10.1080/13645706.2016.1198381

lower part of the sigmoid. Annals of Surgery. 1948;**128**(3):425

of Cancer of the Rectum. London: Springer; 2015. pp. 1-12

rectum. Annals of Surgery. 1983;**198**(2):159

\*, Claudiu Varlam Molnar<sup>3</sup>

Quality of Life Following Intersphincteric Resections for Low Rectal Cancer: Early Results

1 Head of Surgery, M5 Department, University of Medicine and Pharmacy Tîrgu-Mureș,

2 Surgery Department, University of Medicine and Pharmacy Tîrgu Mureș, Tîrgu Mureș

3 Obstetrics and Gynecology Department, University of Medicine and Pharmacy Tîrgu Mureș, Tîrgu Mureș Emergency Clinical County Hospital, Tîrgu Mureș, România

4 Surgery Department, University of Medicine and Pharmacy of Tîrgu Mureș, Tîrgu Mureș

[1] Lirici MM, Hüscher CGS. Techniques and technology evolution of rectal cancer surgery: A history of more than a hundred years. Minimally Invasive Therapy & Allied Techno-

[2] Perry WB, Connaughton JC. Abdominoperineal resection: How is it done and what are the results? Clinics in Colon and Rectal Surgery. 2007;**20**(3):213-220. DOI: 10.1055/

[3] Dixon CF. Anterior resection for malignant lesions of the upper part of the rectum and

[4] Goligher JC, Dukes CE, Bussey HJR. Local recurrences after sphincter-saving excisions for carcinoma of the rectum and rectosigmoid. British Journal of Surgery. 1951;**39**(155):199-211 [5] Reguero JL, Longo WE. The evolving treatment of rectal cancer. In: Modern Management

[6] Pollett WG, Nicholls RJ. The relationship between the extent of distal clearance and survival and local recurrence rates after curative anterior resection for carcinoma of the

[7] Lange MM, Rutten HJ, Van de Velde CJH. One hundred years of curative surgery for rectal cancer: 1908-2008. European Journal of Surgical Oncology. 2009;**35**(5):456-463

and Vlad-Olimpiu Butiurca4

http://dx.doi.org/10.5772/intechopen.79727

121

MR magnetic resonance

**Author details**

Călin Molnar1

**References**

s-2007-984865

Other authors have also evaluated found ISR to be satisfactory from an oncological point of view. In one study, authors report a 3-year disease-free survival in ISR group was 97% and a 5-year disease-free survival was 93% [28].
