The impact of robotic surgery on quality of life, urinary and sexual function following total mesorectal excision for rectal cancer: a propensity score-matched analysis with laparoscopic surgery
| Autor: | H. J. Kim, Jeung-Min Park, Chun-Seok Yang, Hye-Rim Lee, Gyu-Seog Choi, Su Yeon Park |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty Sexual Behavior medicine.medical_treatment Urination 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Quality of life medicine Humans Robotic surgery Postoperative Period Prospective Studies Propensity Score Prospective cohort study Aged Proctectomy Rectal Neoplasms business.industry Gastroenterology Middle Aged Total mesorectal excision Surgery Treatment Outcome 030220 oncology & carcinogenesis Propensity score matching Cohort Quality of Life Female Laparoscopy 030211 gastroenterology & hepatology Sexual function business |
| Zdroj: | Colorectal Disease. 20:O103-O113 |
| ISSN: | 1462-8910 |
| DOI: | 10.1111/codi.14051 |
| Popis: | AIM Quality of life (QoL) and functional outcomes are at risk of being impaired after rectal surgery, but there has been no large prospective study to thoroughly assess QoL according to surgical approach. We have investigated the impact of laparoscopic and robotic total mesorectal excision (TME) on QoL and functional outcomes. METHOD Patients undergoing laparoscopic or robotic TME for rectal cancer between 2009 and 2013 were prospectively included in this questionnaire-based survey of QoL together with variations in urinary and sexual function. A propensity score analysis was retrospectively conducted to compare outcomes between groups in a cohort matched 1:1 for age, sex, body mass index, preoperative chemoradiation status and tumour height. The survey was performed preoperatively and 3, 6 and 12 months after surgery. RESULTS Global health status/QoL was similar between the two groups for 130 matched pairs, but the robotic group showed better role, emotional and social functioning and experienced less fatigue and financial difficulty. International Prostatic Symptom Scores in men increased postoperatively, with significantly less impairment in the robotic group at 6 months. These scores were comparable to preoperative scores at 6 months in the robotic group and at 12 months in the laparoscopic group. Of 48 sexually active men in each group, International Index of Erectile Function-5 scores decreased postoperatively, returning to preoperative levels at 6 months in the robotic group and at 12 months in the laparoscopic groups. CONCLUSION The robotic approach for TME was associated with less impairment of urinary and sexual function; QoL was comparable to the laparoscopic approach. |
| Databáze: | OpenAIRE |
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