Proctectomia with restoration of internal anal sphincter, levator and colonic pouch after in low rectal cancer

Seven patients from 38 to 74 years of age have been operated with lower third rectal cancer with the distribution on anal channel (T3N0M0 (n=4), T3N1M0 (n=1), T3N0M1 (n=1), T4N2M1 (n=1)). Proctectomia with total mesorectal excision, the resection of the internal sphincter and the external sphincter deep portions and pull through have been performed. Smooth muscles cuffs sphincter, non free smooth muscles rag levator fixed on the anterior of small pelvis, and the colonic pouch having been made of the cross section submucous platform on the levator formation basis have been formed on the end of the reduced gut. In 6 months the conscious defecation with tenesmus 1-2 times a day and the scybalum retarding have been marked. In 1 year patients could ignore tenesmus during 15-30 minutes. The period of 35 years without relapse has been marked in 5 patients T3N0M0 T3N1M0. The disease progressing has been noted in one case (T4N2M1). The process stabilization within 1,5 years has been in patient (T3N0M1) against the background of multimodal chemotherapy (XELOX).