: :15 /"

:
-Rt. colon " SMA: iliocolic A., right colic-
..A. ,middle colic A
- ' (IMA (left colic-SMA-
.((middle colic
-Lt. Colon Lt. colic IMA-
- IMA-
- - .sup. Hemorrhoidal A - IMA
-.mid. Hemorrhoidal A - int. iliac
-.inf. Hemorrhoidal A - int. iliac.pudental-
:
SMV ) IMV
(.
. . duke D
CRC . " US
.CRC
-Arc de riolan , , ' vasa recti-
.
: ,.Appendica epiploica, tenia .
:
- ) ( . 800-1000" , 150"
. high output :
low output .
) (.
, total
proctocolectomy . pouch .
. ' .
20 5-6 .
, levators-
) ( . -
EMG .
:
) ( , ) ,(,
. .
" - ).(synchronous
22 -" . fit .
- , . .

.
- : , .
. . ,
, 900" . CT
.

 US ) -(TRUS 360 ) 180( ,

. - , ' .
) TNM .(M- .
.
-MRI , , , .
:
.
" , .
) ( . :
, , ' . . guidelines-
.
:


)
(.
-Total mesorectal excision . .
- . 5" -
2"
5" . 1.5-2" .
.
':
dukes B- .
.
3- . .
. " -
)( .
:
- Rt. Hemicolectomy ) ( -

-Rt. Extended or transverse collectomy .

) ( .
.
.
-Lt. Hemicolectomy . .
Lt. extended hemicolectomy .
. )
( .
-
:
-high / low anterior resection ) 12" .(dentate line-
-Total mesorectal excision .
-Colo-anal anastemosis
-(Abdomino-perineal resection with permanent colostomy (Miles operation

 - " -
. , 2-3 .
)( , .
.
- :
-Side to side anastemosis (GIA (GI anastemosis TIA .
.double stapling
End to end anastemosis
.End to side anastemosis
:
: , ) ,(fecal peritonitis ) ,
( ,) toxic megacolon , IBD- 12"
( , ) - (.
) (.
.
- , ,
.100% ) :(fecal diversion - , -
) (.
-End colostomy .
.1
. ,
.
-loop colostomy
.2
) ( . rod 4- .
'
. ) ( . -
meso .
:
:UC
. . total procto-
colectomy colo-anal anastemosis- abdomino-perineal resection .
J pouch )( . .S pouch
pouch- .pouchitis
:
UC
.1

.2
.
.3

.4
:
) UC( . , , , .
- ) .(partial resection
..short bowl syn , , ,,
.
. .
) , ( .
- , , -
.

abdomino- colo-anal anastemosis- total procto-colectomy -

perineal resection