Evaluation of anal function after surgery for rectal cancer

Autor:	Alessandro Maturo, Nadia Peparini, Torretta A, Zeri Kp, Domenico Mascagni, Filippo Maria Di Matteo, Giorgio Di Matteo
Rok vydání:	2000
Předmět:	medicine.medical_specialty business.industry Colorectal cancer Rectum General Medicine Anal canal medicine.disease Surgery Surgical anastomosis medicine.anatomical_structure Oncology medicine Rectal cancer surgery business Coloanal anastomosis Complication Anal function
Zdroj:	Journal of Surgical Oncology. 74:11-14
ISSN:	1096-9098 0022-4790
DOI:	10.1002/1096-9098(200005)74:1<11::aid-jso3>3.0.co;2-d
Popis:	Background and Objectives: Sphincter-saving surgical procedures for rectal cancer have been legitimized if executed respecting the criteria of oncological radicalness. Our objective was to evaluate anal sphincteric continence after rectal cancer surgery. Methods: A detailed questionnaire regarding continence was administered to 3 groups of patients. Group I was composed of 9 patients treated with a higher (>4 cm), stapled colorectal anastomosis; the 9 group 2 patients were treated with a low (≤4 cm), stapled colorectal anastomosis; the 9 group 3 patients underwent coloanal anastomosis. Results: The results were evaluated about 3 years after surgery. Continence was excellent in group 1 and very good in group 2. However, in group 3, we observed diminished gas/feces discrimination, reduced ability to postpone evacuation, and increased soiling and perianal rash. Conclusions: Anal sphincteric continence was better after surgery with a high or low colorectal anastomosis than after coloanal anastomosis.
Databáze:	OpenAIRE
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