Side-to-end reanastomosis after lower anterior resection (STELAR) in Gynecologic Cancer Surgery

Aim: search for modifiable and unmodifiable risk factors affecting the quality of life of patients after rectal cancer surgery.Materials and methods: the literature search was done according to the keywords: quality of life, rectal cancer, low anterior resection syndrome. Twelve prospective randomized studies, 2 cohort studies, and 2 meta-analyses are included in the study. The quality of life was assessed in the analyzed studies by using questionnaires for cancer patients and updated questionnaires for colorectal cancer: EORTC QLQ-CR29, QLQ-C30, QLQ-CR38, BIQ.Results: the literary data on influence of gender, age, surgery, stoma, and chemoradiotherapy on life quality of patients after rectal cancer surgery was analyzed.Conclusion: the most significant factor affecting the life quality of patients with rectal cancer is a violation of the body image if it is necessary to form the stoma on the anterior abdominal wall. The manifestations of the low anterior resection syndrome and the urination problems are significant risk factors in the case of restoration of bowel continuity.

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Automated patient-reported symptom data capture, tracking, and intervention during recovery from ambulatory gynecologic cancer surgery: A prospective study

Gynecologic Oncology ◽

10.1016/j.ygyno.2017.03.119 ◽

2017 ◽

Vol 145 ◽

pp. 47

Author(s):

O. Zivanovic ◽

M.W. Veith ◽

R.E. Baser ◽

E. Jewell ◽

L.Y. Chen ◽

...

Keyword(s):

Prospective Study ◽

Gynecologic Cancer ◽

Cancer Surgery ◽

Data Capture ◽

Patient Reported ◽

A Prospective Study

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How to Handle Lymphadenectomy Specimens to Identify Metastasis More Accurately in Gynecologic Pathology

International Journal of Surgical Pathology ◽

10.1177/1066896918802032 ◽

2018 ◽

Vol 27 (3) ◽

pp. 244-250

Author(s):

Gunsu Kimyon Comert ◽

Nazmiye Dincer ◽

Alp Usubutun

Keyword(s):

Retrospective Study ◽

Lymph Nodes ◽

Detection Rate ◽

Gynecologic Cancer ◽

Processing Technique ◽

Cancer Surgery ◽

Test Results ◽

Single Section

Aim. To identify the value of processing multiple sections to detect metastasis in lymph nodes (LNs) dissected during gynecologic cancer surgery, and to evaluate the sizes of metastatic LNs in each region to compare with the largest one. Materials and Methods. This retrospective study included 362 patients who had gynecologic cancer with at least one metastatic LN. Slides of 627 metastatic LN specimens were categorized according to the processing technique into single and more than one section (MOS) groups. In the MOS group, the LNs were cut into 2 or 3 parallel slices because their greatest dimensions exceeded 0.5 cm. Sizes of LN metastatic foci (MF) were measured and defined as follows: MF ⩽2 mm as micrometastasis and MF >2 mm as macrometastasis. The largest LN diameters among the metastatic LNs and the largest LNs in those regions were measured. Groups were compared using the Kruskal-Wallis test. Results. Sixty-five (10.3%) of the metastatic LNs included in this study had micrometastases and 40 (6.3%) of them had MF ⩽1 mm. The rate of micrometastasis was higher in the MOS group than in the single-section group (11.8% vs 8.5%, respectively). Twenty-eight percent (n = 175) of metastatic LNs were not the largest, and 55.5% of those were less than 1 cm in diameter. Conclusion. Methods of LN processing and macroscopic evaluation are not standardized, and processing single sections from LNs may overlook micrometastases. The detection rate of micrometastases can be improved by processing multiple sections from LNs.

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