Functional outcomes over time following perineal pseudocontinent colostomy reconstruction after abdominoperineal resection for ultralow rectal adenocarcinoma.

Autor: Souadka A; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Majbar MA; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Essangri H; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Amrani L; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Benkabbou A; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Mohsine R; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco., Souadka A; Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco.; Surgical Department, Al Azhar Oncological Center, Rabat, Morocco.
Jazyk: angličtina
Zdroj: Journal of surgical oncology [J Surg Oncol] 2020 Sep; Vol. 122 (4), pp. 753-759. Date of Electronic Publication: 2020 Jun 20.
DOI: 10.1002/jso.26074
Abstrakt: Background and Objectives: Pseudocontinent-perineal colostomy (PCPC) following abdominoperineal resection (APR) is a promising technique associated with good quality of life. This study evaluates over time the functional results after PCPC using the Kirwan score.
Methods: All PCPC patients operated on from January 2001 to January 2016 were followed with their functional results assessed at four checkpoints. A/B Kirwan scores and a 48 to 72 hours colonic irrigation rhythm were considered "good" and "convenient" and their overall variations over time were assessed by means of Cochran's Q test corrected by Bonferroni post hoc test.
Results: Fifty-seven eligible patients were included in the study with 33 (58%) women. We noted a significant difference in both Kirwan score and colic irrigation rhythm during the four checkpoints in follow-up with Q(1) = 85.01 and Q(2) = 69. 86. By the fourth checkpoint, 86% of patients had a Kirwan score of A/B. Concerning the rhythm of colonic irrigation, there was a significant improvement between 6 months and other checkpoints. In the second year, 63% of patients reduced their colonic irrigation rhythm.
Conclusions: The functional results of PCPC after APR improve and stabilize from 6 months to 1 year after surgery thus making PCPC a good alternative that surgeons can present to their patients.
(© 2020 Wiley Periodicals LLC.)
Databáze: MEDLINE
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