Evaluación comparativa en calidad de vida de pacientes con RAUB, RAUBIE vs RAP por cáncer de recto. Informe preliminar

Abstract

The abdominoperineal resection (APR) was the standard treatment of middle-low rectal cancer, in the last 20 years the development of sparing techniques with sphincter preservation with adequate surgical and oncological results has allowed to offer the patient the sphincter apparatus preservation, avoiding the definitive colostomy, however, these techniques may present secondary incontinence to the loss of the rectum. Both surgical options can affect the quality of life of the patient and this element should be considered. Objective: To compare the change in quality of life of patients undergoing APR vs sphincter preserving techniques in patients operated for rectal cancer. Materials and Method: Cross-sectional cohort study with medium-low rectal cancer patients, operated in our hospital from 2009 to 2015. The instrument EuroQuol-5D2, validated in chilean spanish is used. Results: 39 patients were included (11 definitive colostomy and 28 sphincter preservation). In the analysis by domains, significant differences were observed favor to definitive colostomy in the Item of "Habitual Activities" and favor to sphincter preservation in the Item "Sexuality". Conclusions: In patients with middle-low rectal cancer, the choice of surgical technique have a measurable impact on the patient's quality of life.

Comparison of quality of life in sphincter-conserving vs non-conservative surgery for rectal cancer

“…La cirugía continúa siendo parte fundamental del tratamiento. El manejo es una terapia multimodal con baja recurrencia, sin embargo, esta afecta la calidad de (10,25) vida del paciente . Este estudio compara la calidad de vida de los pacientes con CCR tratados con RAP versus resecciones conservadoras de esfínteres: RAB y RAUB.…”

Colostomies: A Brief Review

“…It demonstrates different realities between these two countries. Also, in the evaluation of 39 Chilean patients with cancer of the medium or low rectum, it was found that the majority (71.8%) had sphincter preservation and only 11 underwent definitive colostomy, with abdominoperineal resection [14].…”

“…The abdominoperineal resection is a surgical procedure performed in patients with cancer of the medium or low rectum, in which a definitive colostomy is necessary, as the rectum is amputated, leaving the patient without an anus [14,21].…”

“…According to the Brazilian National Cancer Institute (INCA), in 2020, it has been estimated 40,990 new cases of colorectal cancer, being 20,520 in men and 20,470 in women [11]. Ostomized patients present changes in their routines and in their body physiology, which culminate in social isolation, changes in sexual life and changes in lifestyle [12,13], causing a worse quality of life for these patients [14,15].…”