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Radiation and chemotherapy are often given before or after surgery. The type of surgery used depends on the stage (extent) of the cancer, where it is, and the goal of the surgery. The principal indication for ap resection is a rectal carcinoma situated in the distal (lower) one-third of the rectum. Other indications include recurrent or residual anal carcinoma (squamous cell carcinoma) following initial, usually definitive combination chemoradiotherapy. Rectal resection has potential risks similar those of other major surgeries. Complications usually occur while the patient is in the hospital and the patients general health prior to surgery will be an indication of the risk potential. Patients with heart problems and stressed immune systems are of special concern. Whenever possible, surgeons at the stanford cancer center aim to preserve sphincter function in rectal cancer patients. The sphincter is the round muscle in the anus that opens and closes to control bowel function. In most cases, surgery is not the first treatment used for anal cancer. For people who do need surgery, the type of operation depends on the type and location of the tumor. Anal leakage common causes, symptoms and natural treatments by dr. David cummings, md published october 30, 2017 updated january 23, 2018 a leaky anus can be an embarrassing condition causing uncontrollable anal discharge. Strict patient selection for le, together with full-thickness and margin-free excision is crucial for patient outcomes (). In carefully selected patients local recurrence rates have been reported to be 4 and le can be curative, with similar oncological outcomes to radical surgery (). There are several variables that must be evaluated when considering a patient for le.

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