Quality of life after surgery for rectal cancer

Renner, Karl; Rosén, Harald; Novi, Gabriele; Hölbling, N.; Schiessel, R

doi:10.1007/bf02238568

Cited by 102 publications

(28 citation statements)

References 17 publications

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“…Available data were summarized from 14 articles 16, 18, 21, 22, 23, 24, 25, 26, 30, 31, 33, 45, 46, 47…”

Section: Resultsmentioning

confidence: 99%

“…ISR is the ultimate anal preservation surgery by both abdominal and anal approaches which consists of TME and excision of the internal anal sphincter. The surgical technique changed the concept of anal preservation and, since 2000, has rapidly expanded not only in Europe, but also in Japan and other Asian countries 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53. Also, laparoscopic‐ISR has come to be aggressively carried out 38, 39, 40, 41, 42.…”

Section: Introductionmentioning

confidence: 99%

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Intersphincteric resection for very low rectal cancer: A review of the updated literature

Shirouzu

Murakami

Akagi

2017

Annals of Gastroent Surgery

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Intersphincteric resection (ISR) has rapidly increased worldwide including laparoscopic surgery. However, there are some concerns for the definition of ISR, surgical technique, oncological outcome, anal function, and quality of life (QoL). The aim of the present study is to evaluate those issues. A review of this surgical technique was carried out by searching English language literature of the PubMed online database and appropriate articles were identified. With regard to open‐ISR, the morbidity rate ranged from 7.5% to 38.3%, with lower mortality rates. Local recurrence rates varied widely from 0% to 22.7%, with a mean follow‐up duration of 40–94 months. Disease‐free and overall 5‐year survival rates were 68–86% and 76–97%, respectively. Those outcomes were equivalent to laparoscopic‐ISR. Surgical and oncological outcomes of ISR were generally acceptable. However, accurate evaluation of anal function and QoL was difficult because of a lack of standard assessment of various patient‐related factors. The surgical and oncological outcomes after ISR seem to be acceptable. The ISR technique seems to be valid as an alternative to abdominoperineal resection in selected patients with a very low rectal cancer. However, both necessity for ISR and expectations of QoL impairment as a result of functional disorder should be fully discussed with patients before surgery.

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“…Available data were summarized from 14 articles 16, 18, 21, 22, 23, 24, 25, 26, 30, 31, 33, 45, 46, 47…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intersphincteric resection for very low rectal cancer: A review of the updated literature

Shirouzu

Murakami

Akagi

2017

Annals of Gastroent Surgery

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“…Unquestionable limits include the limited series of patients interviewed in this study, the informal approach to our patients, the unvalidated reproducibility of severity rating on the part of the patients themselves and transferability to other populations, and, ultimately, the lack of validation procedures. However, the counterchecking of our results by evaluation of QOL, as other authors have done for fecal incontinence [19,30,31,32,33], or any attempts to validate our scores against other instruments for QOL measurement, would have been misleading since QOL is not strictly related to the anorectal conditions, and the same functional result after anal sphincter replacement can have a different impact on QOL of different patients. Our procedure was intended merely to depict the WPASR system scheme by the assignment of a more detailed and compliant scoring, more representative of the severity of each item and frequency.…”

Section: An Incontinence Plus Evacuation Cumulative Scalementioning

confidence: 91%

A patient-rated, surgeon-corrected scale for functional assessment after total anorectal reconstruction

Violi

Boselli

Bernardinis

et al. 2002

Int J Colorectal Dis

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“…Since then, with progress in the investigation of the short-term and long-term results of this procedure, ISR has been adopted as a promising procedure for selected patients with very low rectal cancer to avoid permanent colostomy [10,11,12,13]. …”

Section: Discussionmentioning

confidence: 99%

Feasibility of Laparoscopic Intersphincteric Resection for Patients with cT1-T2 Low Rectal Cancer

Shiomi

Kinugasa²,

Yamaguchi³

et al. 2013

Dig Surg

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Aims: The purpose of this study was to assess the feasibility of laparoscopic intersphincteric resection (LAP-ISR) for rectal cancer in terms of morbidity, oncological outcomes, and functional results. Methods: Thirty-seven patients with primary low rectal cancer cT1-T2 underwent LAP-ISR. Surgical outcomes, pathological results, postoperative complications, oncological outcomes, and functional results were analyzed retrospectively. Results: Three patients (8.1%) had carcinoma in situ, 22 (59.5%) had pT1 tumor, and 11 (29.7%) had pT2 tumor. Eleven patients (29.7%) were diagnosed as being node positive, while 26 (70.3%) had node-negative disease. The median operative time was 315 min (range: 195-502). The median blood loss was 37 ml (range: 0-745). One case was converted to open surgery. Pathological complete resection was achieved in all cases. There was no surgical mortality. Postoperative complications of grade III-IV on the Clavien-Dindo classification were observed in 16.2% of the patients. The median follow-up period was 2.8 years (range: 187-2,241 days), and 3-year disease-free survival was 93.1%. No patient developed local recurrence. The functional result was objectively good. Conclusion: LAP-ISR can be recommended as a feasible, ultimate sphincter-preserving procedure with acceptable functional and intermediate-term oncological outcomes in patients with cT1-T2 very low rectal cancer.

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Quality of life after surgery for rectal cancer

Cited by 102 publications

References 17 publications

Intersphincteric resection for very low rectal cancer: A review of the updated literature

Intersphincteric resection for very low rectal cancer: A review of the updated literature

A patient-rated, surgeon-corrected scale for functional assessment after total anorectal reconstruction

Feasibility of Laparoscopic Intersphincteric Resection for Patients with cT1-T2 Low Rectal Cancer

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