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Quality of life of patients with rectal cancer after surgical treatment

https://doi.org/10.17650/2686-9594-2019-9-4-37-42

Abstract

Objective: to analyze functional surgical outcomes in patients with distal rectal cancer and their quality of life at different time-points postoperatively.

Materials and methods. This retrospective study included all patients with rectal cancer that underwent either abdominoanal resection of the rectum (with their sigmoid colon brought down into the anal canal) or low intraabdominal resection of the rectum with the formation of a mechanical coloanal anastomosis in Irkutsk Regional Oncology Dispensary between 1999 and 2012. Study participants were divided into two groups: the experimental group included patients who had low intraabdominal resection of the rectum, whereas the control group consisted of patients who had abdominoanal resection of the rectum. We evaluated 5-year survival and patients' quality of life (using the Wexner and FIQL scales).

Results. One year postoperatively, 17 patients (25 %) from the control group had unsatisfactory sphincter function (Wexner score 11–20). Sixty-three patients from the control group (95 %) reported fecal incontinence of varying severity. In the experimental group, 40 patients out of 88 (45 %) that survived during the first year had normal sphincter function. The remaining patients had solid stool incontinence or inability to retain feces for a long time (Wexner score <10).

Conclusions. Low resections of the rectum ensured better functional outcomes and patients' quality of life than abdominoanal resections of the rectum did. 

About the Authors

A. A. Medvednikov
Regional Oncology Dispensary; Irkutsk State Medical University, Ministry of Health of Russia
Russian Federation
32 Frunze St., Irkutsk 664035; 8 3rd of July St., Irkutsk 664022


A. V. Shelekhov
Regional Oncology Dispensary; Irkutsk State Medical University, Ministry of Health of Russia; Irkutsk State Medical Academy of Postgraduate Education, a branch of the Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
32 Frunze St., Irkutsk 664035; 8 3rd of July St., Irkutsk 664022; 100 Yubileyniy District, Irkutsk 664000


V. V. Dvornichenko
Regional Oncology Dispensary; Irkutsk State Medical University, Ministry of Health of Russia; Irkutsk State Medical Academy of Postgraduate Education, a branch of the Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia
Russian Federation
32 Frunze St., Irkutsk 664035; 8 3rd of July St., Irkutsk 664022; 100 Yubileyniy District, Irkutsk 664000


S. M. Plenkin
Regional Oncology Dispensary
Russian Federation
32 Frunze St., Irkutsk 664035


S. I. Radostev
Regional Oncology Dispensary
Russian Federation
32 Frunze St., Irkutsk 664035


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