Functional outcome of low rectal resection evaluated by anorectal manometry
Jazyk angličtina Země Austrálie Médium print-electronic
Typ dokumentu časopisecké články
PubMed
28922706
DOI
10.1111/ans.14207
Knihovny.cz E-zdroje
- Klíčová slova
- anorectal manometry, bowel dysfunction, laparoscopy, low anterior resection syndrome, low anterior resection syndrome score, rectal cancer,
- MeSH
- anální kanál chirurgie MeSH
- anastomóza chirurgická metody MeSH
- defekace fyziologie MeSH
- fekální inkontinence prevence a kontrola MeSH
- hodnocení rizik MeSH
- kohortové studie MeSH
- kvalita života * MeSH
- lidé středního věku MeSH
- lidé MeSH
- manometrie metody MeSH
- nádory rekta mortalita patologie chirurgie MeSH
- obnova funkce MeSH
- pooperační komplikace patofyziologie psychologie MeSH
- proktektomie škodlivé účinky metody MeSH
- proktoskopie metody MeSH
- prospektivní studie MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Low anterior resection syndrome (LARS) covers disordered bowel function after rectal resection, leading to deterioration in patients' quality of life. The aim of this study was to evaluate anorectal function after laparoscopic low anterior resection (LAR) by means of standardized instruments. METHODS: This was a prospective clinical cohort study conducted in a single institution to assess functional outcome of patients 1 year after laparoscopic LAR by means of LARS score and high-resolution anorectal manometry. RESULTS: In total, 65 patients were enrolled in the study. Mean tumour height was 9.4 ± 1.8 cm; total mesorectal excision during laparoscopic LAR with low end-to-end colorectal anastomosis was performed in all patients. One year after the surgery, minor LARS was detected in 33.9% of patients, major LARS in 36.9% of patients. Anorectal manometry revealed decreased resting pressure and normal squeeze pressure of the anal sphincters in the majority of our patients. Rectal compliance and rectal volume tolerability (first sensation, urge to defaecate and discomfort volume) were significantly reduced. The statistical testing of the correlation between LARS and manometry parameters showed that with increasing seriousness of LARS, values of some parameters (resting pressure, first sensation, urge to defaecate, discomfort volume and rectal compliance) were reduced. CONCLUSION: This study indicates that the majority of patients after laparoscopic LAR experience symptoms of minor or major LARS. These patients have decreased resting anal sphincter pressures, decreased rectal volume tolerability and decreased rectal compliance.
Department of Forensic Medicine University Hospital Ostrava Ostrava Czech Republic
Department of Surgery University Hospital Ostrava Ostrava Czech Republic
Department of Surgical Studies Faculty of Medicine University of Ostrava Ostrava Czech Republic
Faculty of Humanities Tomas Bata University Zlin Czech Republic
Citace poskytuje Crossref.org
