Background and Objectives: Sphincter-saving surgical procedures for rectal cancer have been legitimized if executed respecting the criteria of oncological radicalness. Our objective was to evaluate anal sphincteric continence after rectal cancer surgery. Methods: A detailed questionnaire regarding continence was administered to 3 groups of patients. Group 1 was composed of 9 patients treated with a higher (>4 cm), stapled colorectal anastomosis; the 9 group 2 patients were treated with a low (less than or equal to 4 cm), stapled colorectal anastomosis; the 9 group 3 patients underwent coloanal anastomosis. Results: The results were evaluated about 3 years after surgery. Continence was excellent in group 1 and very good in group 2. However, in group 3, we observed diminished gas/feces discrimination, reduced ability to postpone evacuation, and increased soiling and perianal rash. Conclusions: Anal sphincteric continence was better after surgery with a high or low colorectal anastomosis than after coloanal anastomosis. (C) 2000 Wiley-Liss, Inc.
Evaluation of anal function after surgery for rectal cancer / DI MATTEO, Giorgio; Mascagni, Domenico; Kenneth P., Zeri; Alfredo, Torretta; DI MATTEO, Filippo Maria; Maturo, Alessandro; Peparini, Nadia. - In: JOURNAL OF SURGICAL ONCOLOGY. - ISSN 0022-4790. - STAMPA. - 74:1(2000), pp. 11-14. (Intervento presentato al convegno 23rd National Congress of the Societa-Italiana-di-Chirurgia-Oncologica (SICO) tenutosi a PERUGIA, ITALY nel SEP 16-18, 1999) [10.1002/1096-9098(200005)74:1<11::aid-jso3>3.0.co;2-d].
Evaluation of anal function after surgery for rectal cancer
DI MATTEO, Giorgio;MASCAGNI, Domenico;DI MATTEO, Filippo Maria;MATURO, Alessandro;PEPARINI, Nadia
2000
Abstract
Background and Objectives: Sphincter-saving surgical procedures for rectal cancer have been legitimized if executed respecting the criteria of oncological radicalness. Our objective was to evaluate anal sphincteric continence after rectal cancer surgery. Methods: A detailed questionnaire regarding continence was administered to 3 groups of patients. Group 1 was composed of 9 patients treated with a higher (>4 cm), stapled colorectal anastomosis; the 9 group 2 patients were treated with a low (less than or equal to 4 cm), stapled colorectal anastomosis; the 9 group 3 patients underwent coloanal anastomosis. Results: The results were evaluated about 3 years after surgery. Continence was excellent in group 1 and very good in group 2. However, in group 3, we observed diminished gas/feces discrimination, reduced ability to postpone evacuation, and increased soiling and perianal rash. Conclusions: Anal sphincteric continence was better after surgery with a high or low colorectal anastomosis than after coloanal anastomosis. (C) 2000 Wiley-Liss, Inc.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
