scholarly journals Anorectal function after low anterior resection

2004 ◽  
Vol 51 (2) ◽  
pp. 95-97 ◽  
Author(s):  
K.E. Matzel ◽  
B. Bittorf ◽  
U. Stadelmaier
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Rectal Resection ◽  
Anorectal Function ◽  
Abdominoperineal Excision ◽  
Functional Deficits ◽  
Anterior Rectal Resection ◽  
Physiologic Function ◽  
Intestinal Continuity ◽  
Patients Experience

Most patients with rectal carcinoma can now be treated with sphincter-sparing procedures. The quality of life after sphincter-sparing procedures is better than after abdominoperineal excision. However, morphology and physiology of the neorectum/ sphincter complex are challenged and enthusians towards restorative surgery in rectal cancer was tempered by concerns over functional deficits: after low anterior resection a substantial portion of patients experience impaired anorectal function, in particular fecal leakage and urgency of defecation and report disturbed sexual function. The aim of our work was to investigate functional outcome and anorectal physiologic function as measured by manometry after the three most commonly used reconstructions of intestinal continuity: anterior rectal resection, low anterior rectal, and intersphincteric rectal resection.

scholarly journals Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

2019 ◽  
Vol 58 (4) ◽  
pp. 148-154
Author(s):  
Jan Grosek ◽  
Jurij Aleš Košir ◽  
Jerica Novak ◽  
Mirko Omejc ◽  
Aleš Tomažič ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Rectal Resection ◽  
Low Anterior Resection Syndrome ◽  
Retest Reliability ◽  
Anterior Resection Syndrome ◽  
Anterior Rectal Resection ◽  
Lars Score ◽  
Test Retest Reliability ◽  
The Impact

Abstract Purpose The purpose of this study was to translate the low anterior resection syndrome (LARS) score into Slovenian and to test its validity on Slovenian patients who underwent low anterior rectal resection. Methods The LARS score was translated from English into Slovenian and then back-translated following international recommendations. The Slovenian version of the LARS questionnaire was completed by patients who underwent low anterior rectal resection between 1 January 2006 and 31 December 2010 at the University Medical Centre Ljubljana. An anchor question assessing the impact of bowel function on lifestyle was included. To assess test-retest reliability, some of the patients answered the LARS score questionnaire twice. Results A total of 100 patients (66.7%) of the 150 patients who were contacted for participation, were included in the final analysis. A total of 58 patients reported major LARS score. The LARS score was able to discriminate between patients who received radiotherapy and those who did not (p<0.001), and between total and partial mesorectal excision (p<0.001). Age was not associated with a greater LARS score (p=0.975). There was a perfect fit between the QoL category question and the LARS score in 66.0% of cases and a moderate fit was found in 24.0% of the cases, showing good convergent validity. Test-retest reliability of 51 patients showed a high intraclass correlation coefficient of 0.86. Conclusions The Slovenian translation of the LARS score is a valid tool for measuring LARS.

scholarly journals Incidence and Mortality of Anastomotic Dehiscence Requiring Reoperation After Rectal Carcinoma Resection

2014 ◽  
Vol 99 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Zhi-jie Cong ◽  
Liang-hao Hu ◽  
Jun-jie Xing ◽  
Zheng-qian Bian ◽  
Chuan-gang Fu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rectal Carcinoma ◽  
Anterior Resection ◽  
Rectal Resection ◽  
Postoperative Mortality ◽  
Anastomotic Dehiscence ◽  
Systematic Search ◽  
Anterior Rectal Resection ◽  
Incidence And Mortality ◽  
Definition Of

Abstract Anastomotic dehiscence (AD) requiring reoperation is the most severe complication following anterior rectal resection. We performed a systematic review on studies that describe AD requiring reoperation and its subsequent mortality after anterior resection for rectal carcinoma. A systematic search was performed on published literature. Data on the definition and rate of AD, the number of ADs requiring reoperation, the mortality caused by AD, and the overall postoperative mortality were pooled and analyzed. A total of 39 studies with 24,232 patients were analyzed. The studies varied in incidence and definition of AD. Systematic review of the data showed that the overall rate of AD was 8.6%, and the rate of AD requiring reoperation was 5.4%. The postoperative mortality caused by AD was 0.4%, and the overall postoperative mortality was 1.3%. We found considerable risk and mortality for AD requiring reoperation, which largely contributed to the overall postoperative mortality.

Clinical and manometric evaluation of anorectal function following low anterior resection with low anastomotic line using an EEA™ stapler for rectal cancer

1988 ◽  
Vol 31 (10) ◽  
pp. 762-766 ◽  
Author(s):  
Shosaku Nakahara ◽  
Hideaki Itoh ◽  
Ryuichi Mibu ◽  
Shinichi Ikeda ◽  
Yoshihiro Oohata ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anorectal Function ◽  
Anastomotic Line

Anorectal function after restorative proctocolectomy and low anterior resection with coloanal anastomosis

1994 ◽  
Vol 81 (2) ◽  
pp. 280-284 ◽  
Author(s):  
W. M. Sun ◽  
N. W. Read ◽  
P. Katsinelos ◽  
T. C. Donnelly ◽  
A. J. Shorthouse
Keyword(s):  
Restorative Proctocolectomy ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Coloanal Anastomosis ◽  
Anorectal Function

Evaluation of Long-term Anorectal Function After Low Anterior Resection

2014 ◽  
Vol 57 (10) ◽  
pp. 1162-1168 ◽  
Author(s):  
Hannah Floodeen ◽  
Rickard Lindgren ◽  
Olof Hallböök ◽  
Peter Matthiessen
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anorectal Function

Anorectal function after low anterior resection of the rectum

1995 ◽  
Vol 10 (2) ◽  
pp. 101-106 ◽  
Author(s):  
J. S. Vassilakis ◽  
G. Pechlivanides ◽  
O. J. Zoras ◽  
N. Vrachasotakis ◽  
E. Chrysos ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anorectal Function

scholarly journals MECHANICAL SUTURE IN RECTAL CANCER

2017 ◽  
Vol 90 (3) ◽  
pp. 305-312
Author(s):  
Cornel Dragos Cheregi ◽  
Ioan Simon ◽  
Ovidiu Fabian ◽  
Adrian Maghiar
Keyword(s):  
Anal Sphincter ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Intestinal Function ◽  
Double Row ◽  
Intestinal Continuity ◽  
Manual Anastomosis ◽  
Mechanical Suture ◽  
End To End ◽  
Mechanical Anastomosis

Background and aims. Colorectal cancer is one of the most frequent digestive malignancies, being the third cause of death by cancer, despite early diagnosis and therapeutic progress made over the past years. Standard treatment in these patients is to preserve the anal sphincter with restoration of intestinal function by mechanical colorectal anastomosis or coloanal anastomosis, and to maintain genitourinary function by preservation of hypogastric nerves.Methods. In order to emphasize the importance of this surgical technique in the Fourth Surgical Clinic of the CF Clinical Hospital Cluj-Napoca, we conducted a prospective observational interventional study over a 3-year period (2013-2016) in 165 patients hospitalized for rectal and rectosigmoid adenocarcinoma in various disease stages, who underwent Dixon surgery using the two techniques of manual and mechanical end-to-end anastomosis. For mechanical anastomosis, we used Covidien and Panther circular staplers. The patients were assigned to two groups, group A in which Dixon surgery with manual end-to-end anastomosis was performed (116 patients), and group B in which Dixon surgery with mechanical end-to-end anastomosis was carried out (49 patients).Results. Mechanical anastomosis allowed to restore intestinal continuity following low anterior resection in 21 patients with lower rectal adenocarcinoma compared to 2 patients in whom intestinal continuity was restored by manual anastomosis, with a statistically significant difference (p<0.000001). The double-row mechanical suture technique is associated with a reduced duration of surgery (121.67 minutes for Dixon surgery with mechanical anastomosis, compared to 165.931 minutes for Dixon surgery with manual anastomosis, p<0.0001).Conclusion. The use of circular transanal staplers facilitates end-to-end anastomosis by double-row mechanical suture, allowing to perform low anterior resection in situations when the restoration of intestinal continuity by manual anastomosis is technically not possible, with the aim to preserve the anal sphincter, to restore intestinal function and maintain genitourinary function through preservation of hypogastric nerves.

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