Functional impairment and quality of life after rectal cancer surgery

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

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)


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)140-147
JournalCirugia y Cirujanos (English Edition)
Issue number2
Publication statusPublished - 1 Mar 2018


  • Functionality
  • Quality of life
  • Rectal cancer
  • Total excision of the mesorectum


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