Function of the distal rectum after low anterior resection for carcinoma
| Autor: | D. J. Schache, N. D. Karanjia, Richard J. Heald |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Sensation Rectum Anal Canal Anastomosis Postoperative Complications medicine Fecal incontinence Flatulence Humans Defecation Aged business.industry Rectal Neoplasms Anastomosis Surgical Anal canal Middle Aged Anus Total mesorectal excision Surgery medicine.anatomical_structure Anal verge Resection margin Female medicine.symptom business Fecal Incontinence |
| Zdroj: | The British journal of surgery. 79(2) |
| ISSN: | 0007-1323 |
| Popis: | From a personal series of 232 anterior resections performed over 10 years, functional results have been analysed in two specific groups of patients: those with anastomoses 3 cm (n = 26) and 6 cm (n = 42) from the anal verge. In both groups low anterior resection had been performed with total mesorectal excision. Function was assessed in four categories: bowel frequency, ability to distinguish flatus from faeces, ability to defer defaecation, and frequency of soiling. Independent analysis of the 3 cm group showed a significant deterioration in function in each category after operation. The ability to defer defaecation and the frequency of soiling were unchanged after operation in the 6 cm group, and these functions were significantly better than in the 3 cm group. On the basis of these results, patients undergoing low anterior resection with total mesorectal excision should benefit from the preservation of a short segment of distal rectum, provided that the distal resection margin is not compromised. |
| Databáze: | OpenAIRE |
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