THE FUNCTIONAL RESULTS OF INTERSPHINCTERIC RESECTION AND RECTAL EXTIRPATION FOR INFEROAMPULLAR CARCINOMA AND THE QUALITY OF LIFE IN THESE PATIENTS
- Authors: Tullna I.1, Bredikhin M.1, Reshetov I.2, Tsarkov P.1, Krylov N.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University
- Issue: Vol 28, No 4 (2017)
- Pages: 53-56
- Section: Articles
- URL: https://journals.eco-vector.com/0236-3054/article/view/116925
- ID: 116925
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Abstract
The authors retrospectively analyzed the functional results of 40 sphincter-sparing resections and quality of life indicators during 71 operations for rectal cancer (40 patients underwent intersphincteric resection (ISR) and 31 extralevator abdominoperineal extirpations (EAPE); the distal edge of the tumor from the anal verge was <5 cm). The functional results (the quality of anal continence) met the patients’ expectations in 89.8% of cases; the signs of low anterior resection syndrome were recorded in 94% of the cases. The quality of life indicators did not significantly differ in patients undergoing ISR and EAPE (p=0.046).
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About the authors
I. Tullna
I.M. Sechenov First Moscow State Medical University
M. Bredikhin
I.M. Sechenov First Moscow State Medical University
I. Reshetov
P. Tsarkov
I.M. Sechenov First Moscow State Medical University
N. Krylov
I.M. Sechenov First Moscow State Medical University
Email: nnkrylov01@yandex.ru
References
- MacFarlane J., Ryall R., Heald R. Mesorectal excision for rectal cancer // Lancet. - 1993; 341 (8843): 457-60. doi: 10.1016/0140-6736(93)90207-w.
- Lyttle J., Parks A. Intersphincteric excision of the rectum // Br. J. Surg. -1977; 64 (6): 413-6.
- Schiessel R., Karner-Hanusch J., Herbst F. et al. Intersphincteric resection for low rectal tumours // Br. J. Surg. - 19994; 81 (9): 1376-8. doi:10.1002/ bjs.1800810944.
- Martin S., Heneghan H., Winter D. Systematic review of outcomes after intersphincteric resection for low rectal cancer // Br. J. Surg. - 2012; 99 (5): 60312. doi: 10.1002/bjs.8677.
- Akagi Y., Kinugasa T., Shirouzu K. Intersphincteric resection for very low rectal cancer: a systematic review // Surgery Today. - 2012; 43 (8): 838-47. doi: 10.1007/s00595-012-0394-3.
- Karadag A., Mentes B., Uner A. et al. Impact of stomatherapy on quality of life in patients with permanent colostomies or ileostomies // Int. J. Color.Dis. -2003; 18 (3): 234-8. doi: 10.1007/s00384-002-0462-z.
- Pachler J., Wille-Jergensen P. Quality of life after rectal resection for cancer, with or without permanent colostomy // Cochrane Database System. Rev. - 2012. [Accessed 22 Mar. 2017]. doi: 10.1002/14651858.CD004323.pub4
- Ortiz H., Armendariz P. Anterior resection: do the patients perceive any clinical benefit? // Int. J. Color. Dis. - 1996; 11 (4): 191-5.
- Bretagnol F., Rullier E., Laurent C. et al. Comparison of Functional Results and Quality of Life Between Intersphincteric Resection and Conventional Coloanal Anastomosis for Low Rectal Cancer // Diseases of the Colon & Rectum. - 2004; 47 (6): 832-8. doi: 10.1007/s10350-004-0523-1.
- Koyama M., Sakamoto Y., Morohashi H. et al. Long-term clinical and functional results of intersphincteric resection for lower rectal cancer // Ann. Surg. Oncol. - 2014; 21 (3): 422-8.
- Solomon, M., Pager, C., Keshava, A. et al. What Do Patients Want? Patient Preferences and Surrogate Decision Making in the Treatment of Colorectal Cancer // Diseases of the Colon & Rectum. - 2003; 46 (10): 1351-7. doi: 10.1007/s10350-004-6749-0.
- Тулина И.А, Кравченко А.Ю., Тананян А. и др. Новый взгляд на интерсфинктерные резекции при раке нижнеампулярного отдела прямой кишки // Рос. мед. журн. - 2014; 2: 22-3.
- Bryant C., Lunniss P., Knowles C. et al. Anterior resection syndrome // Lancet Oncology. - 2012; 13 (9): 403-8. doi: 10.1016/s1470-2045(12)70236-x.
- Tsukamoto S., Kanemitsu Y., Shida D. et al. Comparison of the clinical results of abdominoperanal intersphincteric resection and abdominoperineal resection for lower rectal cancer // Int. J. Color. Dis. - doi: 10.1007/s00384-017-2755-2. [Epub ahead of print].
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