Urodynamic outcome of waterjet-assisted total mesorectal excision
| Autor: | K T Moesta, W F Thon, P Geers, C Yildirim, Ferdinand Köckerling |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer media_common.quotation_subject Urinary Bladder Urination medicine Humans Prospective Studies Prospective cohort study Colectomy Aged media_common Aged 80 and over Rectal Neoplasms business.industry Residual urine Water Middle Aged medicine.disease Total mesorectal excision Surgery Urodynamics Dissection Detrusor pressure Female business |
| Zdroj: | British Journal of Surgery. 94:1543-1547 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.5862 |
| Popis: | Background Waterjet dissection has been proposed for total mesorectal excision. The present study investigated its impact on urodynamic function and oncological outcome. Methods Thirty patients with rectal cancer were recruited to this prospective study, of whom 25 underwent urodynamic evaluation both before and after surgery. Results All patients were capable of spontaneous micturition at a median of 5 months after surgery. Urodynamic measurements revealed a decrease in detrusor pressure of more than 30 mmHg, and residual urine volumes of between 100 and 200 ml, in three patients. No patient had a complete neurogenic voiding disorder. Local recurrences developed in two of 22 patients. Conclusion The extent of micturition disorders observed after total mesorectal excision using the waterjet method in this small series is encouraging. |
| Databáze: | OpenAIRE |
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