Oncological outcomes and quality of life after rectal cancer surgery

AbstractSurgery for rectal cancer has been completely revolutionized thanks to the adoption of new technologies and up-to-date surgical procedures that have been applied to the traditional milestone represented by Total Mesorectal Excision (TME).The multimodal and multidisciplinary approach, with new technologies increased the patients’ life expectancies; nevertheless, they have placed the surgeon in front of newer issues, represented by both oncological outcomes and the patients’ need of a less destructive surgery and improved quality of life.In this review we will go through laparoscopic, robotic and transanal TME surgery, to show how the correct choice of the most appropriate technique, together with a deep knowledge of oncological principles and pelvic anatomy, is crucial to pursue an optimal cancer treatment. Novel technologies might also help to decrease the patients’ fear of surgery and address important issues such as cosmesis and improved preservation of postoperative functionality.

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Comparison of quality of life outcomes between laparoscopic and open approach for rectal cancer surgery

Southern Clinics of Istanbul Eurasia ◽

10.14744/scie.2020.99705 ◽

2021 ◽

Author(s):

selçuk kaya

Keyword(s):

Quality Of Life ◽

Rectal Cancer ◽

Cancer Surgery ◽

Rectal Cancer Surgery ◽

Open Approach ◽

Life Outcomes ◽

Quality Of Life Outcomes

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Quality of life after rectal cancer surgery (systematic review)

Koloproktologia ◽

10.33878/2073-7556-2021-20-1-59-67 ◽

2021 ◽

Vol 20 (1) ◽

pp. 59-67

Author(s):

A. B. Serebriy ◽

E. A. Khomyakov ◽

I. O. Nafedzov ◽

O. Yu. Fomenko ◽

E. G. Rybakov

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Rectal Cancer ◽

Anterior Resection ◽

Low Anterior Resection ◽

Life Quality ◽

Cancer Surgery ◽

Rectal Cancer Surgery ◽

Low Anterior Resection Syndrome

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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Quality of life in rectal cancer surgery: What do the patient ask?

World Journal of Gastrointestinal Surgery ◽

10.4240/wjgs.v7.i12.349 ◽

2015 ◽

Vol 7 (12) ◽

pp. 349 ◽

Cited By ~ 6

Author(s):

Giovanni D De Palma

Keyword(s):

Quality Of Life ◽

Rectal Cancer ◽

Cancer Surgery ◽

Rectal Cancer Surgery

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Survival and Quality of Life of Patients After Rectal Cancer Surgery in a Low-Income Country: A Study in Cameroon, Sub-Saharan African Region

SSRN Electronic Journal ◽

10.2139/ssrn.3824691 ◽

2021 ◽

Author(s):

Guy Aristide Bang ◽

Eric Patrick Savom ◽

Georges Bwelles ◽

Julienne Yambassa Fayam ◽

Yannick Mahamat Ekani Boukar ◽

...

Keyword(s):

Quality Of Life ◽

Rectal Cancer ◽

Low Income ◽

Cancer Surgery ◽

Income Country ◽

Rectal Cancer Surgery ◽

African Region ◽

Low Income Country ◽

Sub Saharan

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Oncological and quality of life outcomes following extralevator versus standard abdominoperineal excision for rectal cancer

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2017.0038 ◽

2017 ◽

Vol 99 (5) ◽

pp. 402-409 ◽

Cited By ~ 6

Author(s):

D Kamali ◽

A Sharpe ◽

A Musbahi ◽

A Reddy

Keyword(s):

Quality Of Life ◽

Rectal Cancer ◽

Abdominoperineal Excision ◽

Long Term Effects ◽

Recurrence Rates ◽

Oncological Outcomes ◽

Significant Difference

INTRODUCTION There is increasing and conflicting research debating the oncological benefits of extralevator abdominoperineal excision (ELAPE) compared with standard abdominoperineal excision (SAPE). However, there is very little in the literature on the long-term effects on patients’ wellbeing following the two procedures. The aim of this study was to determine the oncological outcomes and long-term quality of life (QoL) of patients at two hospitals having undergone ELAPE or SAPE. METHODS Consecutive patients with rectal cancer who underwent either ELAPE or SAPE between January 2009 and June 2015 at a single centre were analysed. Oncological outcomes were determined by histology and follow-up imaging. QoL data were obtained prospectively using the QLQ-C30 and QLQ-CR29 questionnaires. RESULTS A total of 48 patients (36 male, 12 female; 27 ELAPE, 21 SAPE) were reviewed. The mean age was 67.4 years and the median follow-up duration was 44 months (range: 6–79 months). Four patients (2 ELAPE, 2 SAPE) developed local recurrence. Rates of distant metastasis were similar (ELAPE: 11%, SAPE: 14%). There was no significant difference in mean global health status score (ELAPE: 77.3, SAPE: 65.3). Impotence was the most frequently reported problem (mean symptom scores of 89.7 and 78.8 for ELAPE and SAPE respectively). CONCLUSIONS This is the largest study with the longest follow-up period that compares QoL after ELAPE with that after SAPE. Although more radical in nature, ELAPE did not demonstrate any significant impact on QoL compared with SAPE. There was no significant difference in long-term oncological outcome between the groups. Impotence remains a significant problem for all patients and they should be well informed of this risk prior to surgery.

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