Afectación funcional y calidad de vida tras cirugía de cáncer rectal

Laura Mora, Alba Zarate, Xavier Serra-Aracil, Anna Pallisera, Sheila Serra, Salvador Navarro-Soto

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Copyright: © 2018 Permanyer. Background: The gold standard of rectal surgery remains total mesorrectal excision (ETM) in which laparoscopy is applied for its advantages. The attempt to avoid 17% conversion rate implies that transanal techniques are applied. Transanal ETM (TaETM) is performed by experimental groups with good oncological and morbimortality results. Objective: This study determines the quality of life and the anorectal function of these patients. Method: Observational study of two cohorts comparing patients undergoing rectal tumor surgery using TaETM or conventional ETM after a minimum of six months of intestinal transit reconstruction. EORTC-30, EORTC-29 quality of life questionnaires and the anorectal function assessment questionnaire (LARS score) are applied. General variables are also collected. Results: 31 patients between 2011 and 2014: 15 ETM group and 16 TaETM. We do not find statistically significant differences in quality of life questionnaires or in anorectal function. Statistically significant general variables: longer surgical time in the TaETM group. Nosocomial infection and minor suture failure in the TaETM group. Conclusion: The performance of TaETM achieves the same results in terms of quality of life and anorectal function as conventional ETM.
Original languageEnglish
Pages (from-to)122-129
JournalCirugia y cirujanos
Volume86
Issue number2
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Calidad de vida
  • Cáncer rectal
  • Escisión total del mesorrecto
  • Funcionalidad
  • Functionality
  • Quality of life
  • Rectal cancer
  • Total excision of the mesorectum

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