Comparative study of functional outcomes between ultra‐low anterior resection and inter‐sphincteric resection: a propensity matched analysis

2021 ◽  
Author(s):  
Jayesh Gori ◽  
Mufaddal Kazi ◽  
Barath Rajkumar ◽  
Prajesh Bhuta ◽  
Suman Kumar Ankathi ◽  
...  
Keyword(s):  
Comparative Study ◽  
Anterior Resection ◽  
Functional Outcomes ◽  
Low Anterior Resection

scholarly journals LARS is Associated with Lower Anastomoses, but not with the Transanal Approach in Patients Undergoing Rectal Cancer Resection

2020 ◽  
Author(s):  
Alexandra Filips ◽  
Tobias Haltmeier ◽  
Andreas Kohler ◽  
Daniel Candinas ◽  
Lukas Brügger ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Functional Outcomes ◽  
Low Anterior Resection ◽  
Regression Coefficient ◽  
Anal Verge ◽  
Transanal Approach ◽  
Cancer Resection ◽  
Rectal Cancer Resection ◽  
The Impact

Abstract Background Low anterior resection syndrome (LARS) is a defecation disorder that frequently occurs after a low anterior resection (LAR) with a total mesorectal excision (TME). The transanal (ta) TME for low rectal pathologies could potentially overcome some of the difficulties encountered with the abdominal approach in a narrow pelvis. However, the impact of the transanal approach on functional outcomes remains unknown. Here, we investigated the effect of the taTME approach on functional outcomes by comparing LARS scores between the LAR and taTME approaches in patients with colorectal cancer. Methods We conducted a retrospective cohort study including 80 patients (n = 40 LAR-TME, n = 40 taTME) with rectal adenocarcinoma. We reviewed medical charts to obtain LARS scores 6 months after the rectal resection or a reversal of the protective ileostomy. Results At the 6-month follow-up, 80% of patients exhibited LARS symptoms (44% minor LARS and 36% major LARS). LARS scores were not significantly associated with the T-stage, N-stage, or neo-adjuvant radiotherapy. The mean distance of the anastomosis from the anal verge was 4.0 ± 2.0 cm. The taTME group had significantly lower anastomoses compared with the LAR-TME group (median 4.0 cm [IQR1.8] vs. median 5.0 cm [IQR 2.0], p < 0.001). Univariable analysis revealed significantly higher LARS scores in the taTME group compared with the LAR-TME group (median LARS scores: 29 vs. 25, p = 0.040). However, multivariable regression analysis, adjusting for neo-adjuvant treatment, anastomosis distance from the anal verge, anastomotic leak rate, and body mass index, revealed no significant effect of taTME on the LARS score (adjusted regression coefficient:  − 2.147, 95%CI:  − 2.130 to 6.169, p = 0.359). We also found a significant correlation between LARS scores and the distance of the anastomosis from the anal verge (regression coefficient:  − 1.145, 95%CI:  − 2.149 to  − 1.141, p = 0.026). Conclusion Fifty percentage of patients in this cohort exhibited some LARS symptoms after a mid- or low-rectal cancer resection. As previously described, LARS scores were negatively correlated with the distance of the anastomosis from the anal verge. TaTME was after adjustment for the height of the anastomosis not associated with higher LARS at 6 months when compared with LAR-TME.

scholarly journals Short-Term Outcomes of Single-Port Low Anterior Resection for Colorectal Cancers: a Comparative Study

2013 ◽  
Vol 24 ◽  
pp. iv113
Author(s):  
Byung Jo Choi ◽  
Sang-Chul Lee
Keyword(s):  
Comparative Study ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Single Port ◽  
Colorectal Cancers ◽  
Short Term

scholarly journals 417 - Neoadjuvant Treatment Strategy and Correlation with Functional Outcomes after Low Anterior Resection for Rectal Cancer

2018 ◽  
Vol 154 (6) ◽  
pp. S-1268
Author(s):  
Felipe F. Quezada ◽  
Rosa M. Jimenez-Rodriguez ◽  
Emmanouil Pappou ◽  
Jesse Joshua Smith ◽  
Iris H. Wei ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Treatment Strategy ◽  
Functional Outcomes ◽  
Low Anterior Resection ◽  
Neoadjuvant Treatment

Robotic Versus Laparoscopic Low Anterior Resection of Rectal Cancer: Short-Term Outcome of a Prospective Comparative Study

2009 ◽  
Vol 16 (6) ◽  
pp. 1480-1487 ◽  
Author(s):  
Seung Hyuk Baik ◽  
Hye Youn Kwon ◽  
Jin Soo Kim ◽  
Hyuk Hur ◽  
Seung Kook Sohn ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Comparative Study ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Short Term ◽  
Term Outcome ◽  
Laparoscopic Low Anterior Resection ◽  
Short Term Outcome ◽  
Prospective Comparative Study

Complete Versus Partial Mobilization of Splenic Flexure During Laparoscopic Low Anterior Resection for Rectal Tumors: A Comparative Study

2012 ◽  
Vol 22 (4) ◽  
pp. 392-396 ◽  
Author(s):  
Cem Gezen ◽  
Yunus E. Altuntas ◽  
Metin Kement ◽  
Selahattin Vural ◽  
Osman Civil ◽  
...  
Keyword(s):  
Comparative Study ◽  
Anterior Resection ◽  
Splenic Flexure ◽  
Low Anterior Resection ◽  
Rectal Tumors ◽  
Laparoscopic Low Anterior Resection
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