[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
May 1958

Combined Abdominoendorectal Resection for Lesions of the Mid and Upper Parts of the Rectum

Author Affiliations

Rochester, Minn.
Section of Surgery (Dr. Black). Fellow in Surgery, Mayo Clinic and Mayo Foundation (Dr. Botham). The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1958;76(5):688-696. doi:10.1001/archsurg.1958.01280230028005

A procedure of the pull-through type, called descriptively a combined abdominoendorectal resection, has been used in the surgical service of one of us (B. M. B.) since 1948. It differs from the usual sphincter-saving operation in that the most distal 3 to 4 cm. of rectum is preserved instead of the sphincter only. While the technical modification is relatively minor, subsequent fecal control is thereby improved greatly. Experience (through 1956) with the procedure in the treatment of 106 patients with carcinoma, 5 with benign polypoid lesions, 2 with megacolon, and 1 with segmental chronic ulcerative colitis forms the basis for the present report.

Technical Considerations  The technical aspects of the operation have been described in detail previously,3,4 and only certain features and changes that have been made in the technique will be considered at this time. The abdominal part of the procedure is identical with that of sphincter-saving operations,

First Page Preview View Large
First page PDF preview
First page PDF preview