Preservation of the continence function after intersphincteric resection using a prolapsing technique in the patients with low rectal cancer and its clinical prognosis
Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located 〈5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual re...
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Published in | Chinese medical journal Vol. 121; no. 20; pp. 2016 - 2020 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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China
Department of General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China
20.10.2008
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Abstract | Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located 〈5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual rectum and the clinical prognosis of patients with lower rectal cancer after intersphincteric resection using a prolapsing technique.
Methods This study included patients with the following inclusion criteria: (1) pathological evidence of rectal cancer and the tumors within distal margins located 5 cm or less from the anus by preoperative endoscopic examination; (2) no evidence by MRI of infiltration of either the external sphincter, puborectalis or the levator muscle; (3) the patients are eligible for intersphincteric resection and lower coloanal anastomosis with a preoperative biopsy showing the tumors with well-to-moderate differentiation. From January 2000 to June 2004, 23 patients with low rectal cancer were included in this study. We used the standard abdominoperineal approach to perform radical resection of tumors with excision of the mesorectum and total or part of the internal sphincters. The patients were followed for assessment of the function of the residual rectum and of cancer recurrence after the operations.
Results The median tumor distance from the anal margin was 4.5 (range 3.5-5.0) cm and the mean distal surgical margin 1.6 (range 1.0-2.0) cm. Cancer was classified into Stage Ⅰ (30.4%), Stage Ⅱ (47.8%), and Stage Ⅲ (21.7%) according to the TNM classification. Two patients developed anastomotic fistula after the surgical resection and 2 patients (8.7%) developed later stages of anastomotic stricture at the site of coloanal anastomosis. The median follow-up period was 31.5 months (range 12-54) and 2 patients (8.7%) developed local recurrence. Three deaths were associated with distal organ metastasis. Twenty patients (87.0%) have maintained competence to control solid or liquid stool and the capacity of flatus continence after the surgery. Among these patients, 2 patients were able to control solid stool and occasionally lose continence of liquid stool. And only 1 patient (4.4%) has retained partial rectum function with good continence of solid stool but not liquid after the operations. Average times of defecation per day of 3, 6, 12, 24 and 36 months after the surgery were 13.1, 4.7, 3.1, 2.9, and 3.2 times/day. Anal manometer measurements showed a decrease of pressure during the resting time after intersphincteric resection and this change remained during the period of follow-up. The maximum squeeze pressure was improved after an initial decrease after the surgery.
Conclusions More residual rectum function after the surgery may be preserved by intersphincteric resection of low rectum cancer. At the same time this technique is safe with few postoperative complication and low tumor recurrence after the surgery. |
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AbstractList | Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located 〈5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual rectum and the clinical prognosis of patients with lower rectal cancer after intersphincteric resection using a prolapsing technique.
Methods This study included patients with the following inclusion criteria: (1) pathological evidence of rectal cancer and the tumors within distal margins located 5 cm or less from the anus by preoperative endoscopic examination; (2) no evidence by MRI of infiltration of either the external sphincter, puborectalis or the levator muscle; (3) the patients are eligible for intersphincteric resection and lower coloanal anastomosis with a preoperative biopsy showing the tumors with well-to-moderate differentiation. From January 2000 to June 2004, 23 patients with low rectal cancer were included in this study. We used the standard abdominoperineal approach to perform radical resection of tumors with excision of the mesorectum and total or part of the internal sphincters. The patients were followed for assessment of the function of the residual rectum and of cancer recurrence after the operations.
Results The median tumor distance from the anal margin was 4.5 (range 3.5-5.0) cm and the mean distal surgical margin 1.6 (range 1.0-2.0) cm. Cancer was classified into Stage Ⅰ (30.4%), Stage Ⅱ (47.8%), and Stage Ⅲ (21.7%) according to the TNM classification. Two patients developed anastomotic fistula after the surgical resection and 2 patients (8.7%) developed later stages of anastomotic stricture at the site of coloanal anastomosis. The median follow-up period was 31.5 months (range 12-54) and 2 patients (8.7%) developed local recurrence. Three deaths were associated with distal organ metastasis. Twenty patients (87.0%) have maintained competence to control solid or liquid stool and the capacity of flatus continence after the surgery. Among these patients, 2 patients were able to control solid stool and occasionally lose continence of liquid stool. And only 1 patient (4.4%) has retained partial rectum function with good continence of solid stool but not liquid after the operations. Average times of defecation per day of 3, 6, 12, 24 and 36 months after the surgery were 13.1, 4.7, 3.1, 2.9, and 3.2 times/day. Anal manometer measurements showed a decrease of pressure during the resting time after intersphincteric resection and this change remained during the period of follow-up. The maximum squeeze pressure was improved after an initial decrease after the surgery.
Conclusions More residual rectum function after the surgery may be preserved by intersphincteric resection of low rectum cancer. At the same time this technique is safe with few postoperative complication and low tumor recurrence after the surgery. R73; Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located <5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual rectum and the clinical prognosis of patients with lower rectal cancer after intersphincteric resection using a prolapsing technique.Methods This study included patients with the following inclusion criteria: (1) pathological evidence of rectal cancer and the tumors within distal margins located 5 cm or less from the anus by preoperative endoscopic examination; (2) no evidence by MRI of infiltration of either the external sphincter, puborectalis or the levator muscle; (3) the patients are eligible for intersphincteric resection and lower coloanal anastomosis with a preoperative biopsy showing the tumors with well-to-moderate differentiation. From January 2000 to June 2004,23 patients with low rectal cancer were included in this study. We used the standard abdominoperineal approach to perform radical resection of tumors with excision of the mesorectum and total or part of the internal sphincters. The patients were followed for assessment of the function of the residual rectum and of cancer recurrence after the operations.Results The median tumor distance from the anal margin was 4.5 (range 3.5-5.0) cm and the mean distal surgical margin 1.6 (range 1.0-2.0) cm. Cancer was classified into Stage I (30.4%), Stage Ⅱ (47.8%), and Stage Ⅲ (21.7%) according to the TNM classification. Two patients developed anastomotic fistula after the surgical resection and 2 patients (8.7%) developed later stages of anastomotic stricture at the site of coloanal anastomosis. The median follow-up period was 31.5 months (range 12-54) and 2 patients (8.7%) developed local recurrence. Three deaths were associated with distal organ metastasis. Twenty patients (87.0%) have maintained competence to control solid or liquid stool and the capacity of flatus continence after the surgery. Among these patients, 2 patients were able to control solid stool and occasionally lose continence of liquid stool. And only 1 patient (4.4%) has retained partial rectum function with good continence of solid stool but not liquid after the operations. Average times of defecation per day of 3, 6, 12, 24 and 36 months after the surgery were 13.1,4.7,3.1,2.9, and 3.2 times/day. Anal manometer measurements showed a decrease of pressure during the resting time after intersphincteric resection and this change remained during the period of follow-up. The maximum squeeze pressure was improved after an initial decrease after the surgery. Conclusions More residual rectum function after the surgery may be preserved by intersphincteric resection of low rectum cancer. At the same time this technique is safe with few postoperative complication and low tumor recurrence after the surgery. The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located < 5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual rectum and the clinical prognosis of patients with lower rectal cancer after intersphincteric resection using a prolapsing technique. This study included patients with the following inclusion criteria: (1) pathological evidence of rectal cancer and the tumors within distal margins located 5 cm or less from the anus by preoperative endoscopic examination; (2) no evidence by MRI of infiltration of either the external sphincter, puborectalis or the levator muscle; (3) the patients are eligible for intersphincteric resection and lower coloanal anastomosis with a preoperative biopsy showing the tumors with well-to-moderate differentiation. From January 2000 to June 2004, 23 patients with low rectal cancer were included in this study. We used the standard abdominoperineal approach to perform radical resection of tumors with excision of the mesorectum and total or part of the internal sphincters. The patients were followed for assessment of the function of the residual rectum and of cancer recurrence after the operations. The median tumor distance from the anal margin was 4.5 (range 3.5 - 5.0) cm and the mean distal surgical margin 1.6 (range 1.0 - 2.0) cm. Cancer was classified into Stage I (30.4%), Stage II (47.8%), and Stage III (21.7%) according to the TNM classification. Two patients developed anastomotic fistula after the surgical resection and 2 patients (8.7%) developed later stages of anastomotic stricture at the site of coloanal anastomosis. The median follow-up period was 31.5 months (range 12 - 54) and 2 patients (8.7%) developed local recurrence. Three deaths were associated with distal organ metastasis. Twenty patients (87.0%) have maintained competence to control solid or liquid stool and the capacity of flatus continence after the surgery. Among these patients, 2 patients were able to control solid stool and occasionally lose continence of liquid stool. And only 1 patient (4.4%) has retained partial rectum function with good continence of solid stool but not liquid after the operations. Average times of defecation per day of 3, 6, 12, 24 and 36 months after the surgery were 13.1, 4.7, 3.1, 2.9, and 3.2 times/day. Anal manometer measurements showed a decrease of pressure during the resting time after intersphincteric resection and this change remained during the period of follow-up. The maximum squeeze pressure was improved after an initial decrease after the surgery. More residual rectum function after the surgery may be preserved by intersphincteric resection of low rectum cancer. At the same time this technique is safe with few postoperative complication and low tumor recurrence after the surgery. BACKGROUNDThe technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal cancer located < 5 cm from the anal verge. This study aimed at assessing the preservation of continence function of the residual rectum and the clinical prognosis of patients with lower rectal cancer after intersphincteric resection using a prolapsing technique.METHODSThis study included patients with the following inclusion criteria: (1) pathological evidence of rectal cancer and the tumors within distal margins located 5 cm or less from the anus by preoperative endoscopic examination; (2) no evidence by MRI of infiltration of either the external sphincter, puborectalis or the levator muscle; (3) the patients are eligible for intersphincteric resection and lower coloanal anastomosis with a preoperative biopsy showing the tumors with well-to-moderate differentiation. From January 2000 to June 2004, 23 patients with low rectal cancer were included in this study. We used the standard abdominoperineal approach to perform radical resection of tumors with excision of the mesorectum and total or part of the internal sphincters. The patients were followed for assessment of the function of the residual rectum and of cancer recurrence after the operations.RESULTSThe median tumor distance from the anal margin was 4.5 (range 3.5 - 5.0) cm and the mean distal surgical margin 1.6 (range 1.0 - 2.0) cm. Cancer was classified into Stage I (30.4%), Stage II (47.8%), and Stage III (21.7%) according to the TNM classification. Two patients developed anastomotic fistula after the surgical resection and 2 patients (8.7%) developed later stages of anastomotic stricture at the site of coloanal anastomosis. The median follow-up period was 31.5 months (range 12 - 54) and 2 patients (8.7%) developed local recurrence. Three deaths were associated with distal organ metastasis. Twenty patients (87.0%) have maintained competence to control solid or liquid stool and the capacity of flatus continence after the surgery. Among these patients, 2 patients were able to control solid stool and occasionally lose continence of liquid stool. And only 1 patient (4.4%) has retained partial rectum function with good continence of solid stool but not liquid after the operations. Average times of defecation per day of 3, 6, 12, 24 and 36 months after the surgery were 13.1, 4.7, 3.1, 2.9, and 3.2 times/day. Anal manometer measurements showed a decrease of pressure during the resting time after intersphincteric resection and this change remained during the period of follow-up. The maximum squeeze pressure was improved after an initial decrease after the surgery.CONCLUSIONSMore residual rectum function after the surgery may be preserved by intersphincteric resection of low rectum cancer. At the same time this technique is safe with few postoperative complication and low tumor recurrence after the surgery. |
Author | DAI Yong JIANG Jin-bo BI Dong-song JIN Zu-tao SUN Jing-zhong HU San-yuan |
AuthorAffiliation | Department of General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong 250012, China |
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References | Brown (R15-13-20190121) 2003; 90 Vorobiev (R23-13-20190121) 2004; 91 Schultz (R21-13-20190121) 2000; 43 Holzer (R19-13-20190121) 2003; 133 Schiessel (R12-13-20190121) 1994; 81 Wu (R5-13-20190121) 2008; 121 Shafik (R6-13-20190121) 2005; 48 Jiang (R10-13-20190121) 2006; 86 Graf (R20-13-20190121) 1996; 39 Wang (R4-13-20190121) 2006; 119 Bittorf (R9-13-20190121) 2004; 30 Bissett (R17-13-20190121) 2001; 44 Temple (R22-13-20190121) 2005; 48 Tiret (R11-13-20190121) 2003; 5 Matzel (R8-13-20190121) 2003; 5 Lahaye (R13-13-20190121) 2005; 26 Blomqvist (R16-13-20190121) 1999; 72 Dai (R2-13-20190121) 2006; 86 Beets-Tan (R18-13-20190121) 2003; 5 Ross (R1-13-20190121) 2005; 42 Guerriero (R3-13-20190121) 2006; 58 Schiessel (R7-13-20190121) 2005; 48 Kim (R14-13-20190121) 2006; 47 |
References_xml | – volume: 5 start-page: 458 year: 2003 ident: R8-13-20190121 publication-title: Colorectal Dis doi: 10.1046/j.1463-1318.2003.t01-1-00503.x contributor: fullname: Matzel – volume: 39 start-page: 744 year: 1996 ident: R20-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/BF02054438 contributor: fullname: Graf – volume: 26 start-page: 259 year: 2005 ident: R13-13-20190121 publication-title: Semin Ultrasound CT MR doi: 10.1053/j.sult.2005.04.005 contributor: fullname: Lahaye – volume: 43 start-page: 35 year: 2000 ident: R21-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/BF02237241 contributor: fullname: Schultz – volume: 48 start-page: 1353 year: 2005 ident: R22-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/s10350-004-0942-z contributor: fullname: Temple – volume: 48 start-page: 1324 year: 2005 ident: R6-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/s10350-004-0936-x contributor: fullname: Shafik – volume: 72 start-page: 18 year: 1999 ident: R16-13-20190121 publication-title: Br J Radiol doi: 10.1259/bjr.72.853.10341684 contributor: fullname: Blomqvist – volume: 44 start-page: 259 year: 2001 ident: R17-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/BF02234302 contributor: fullname: Bissett – volume: 81 start-page: 1376 year: 1994 ident: R12-13-20190121 publication-title: Br J Surg doi: 10.1002/bjs.1800810944 contributor: fullname: Schiessel – volume: 48 start-page: 1858 year: 2005 ident: R7-13-20190121 publication-title: Dis Colon Rectum doi: 10.1007/s10350-005-0134-5 contributor: fullname: Schiessel – volume: 121 start-page: 636 year: 2008 ident: R5-13-20190121 publication-title: Chin Med J doi: 10.1097/00029330-200804010-00012 contributor: fullname: Wu – volume: 133 start-page: 656 year: 2003 ident: R19-13-20190121 publication-title: Surgery doi: 10.1067/msy.2003.150 contributor: fullname: Holzer – volume: 42 start-page: 72 year: 2005 ident: R1-13-20190121 publication-title: Curr Probl Surg doi: 10.1067/j.cpsurg.2004.11.003 contributor: fullname: Ross – volume: 86 start-page: 961 year: 2006 ident: R10-13-20190121 publication-title: Natl Med J Chin (Chin) contributor: fullname: Jiang – volume: 58 start-page: 83 year: 2006 ident: R3-13-20190121 publication-title: Chir Ital contributor: fullname: Guerriero – volume: 119 start-page: 1675 year: 2006 ident: R4-13-20190121 publication-title: Chin Med J doi: 10.1097/00029330-200610020-00001 contributor: fullname: Wang – volume: 91 start-page: 1506 year: 2004 ident: R23-13-20190121 publication-title: Br J Surg doi: 10.1002/bjs.4330 contributor: fullname: Vorobiev – volume: 5 start-page: 454 year: 2003 ident: R11-13-20190121 publication-title: Colorectal Dis doi: 10.1046/j.1463-1318.2003.00508.x contributor: fullname: Tiret – volume: 90 start-page: 355 year: 2003 ident: R15-13-20190121 publication-title: Br J Surg doi: 10.1002/bjs.4034 contributor: fullname: Brown – volume: 47 start-page: 248 year: 2006 ident: R14-13-20190121 publication-title: Korean J Gastroenterol contributor: fullname: Kim – volume: 5 start-page: 392 year: 2003 ident: R18-13-20190121 publication-title: Colorectal Dis doi: 10.1046/j.1463-1318.2003.00518.x contributor: fullname: Beets-Tan – volume: 86 start-page: 822 year: 2006 ident: R2-13-20190121 publication-title: Natl Med J Chin (Chin) contributor: fullname: Dai – volume: 30 start-page: 260 year: 2004 ident: R9-13-20190121 publication-title: Eur J Surg Oncol doi: 10.1016/j.ejso.2003.11.011 contributor: fullname: Bittorf |
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Snippet | Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients... The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with a rectal... BACKGROUNDThe technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for patients with... R73; Background The technique of intersphincteric resection of tumors combined with coloanal anastomosis has been used to avoid permanent colostomy for... |
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StartPage | 2016 |
SubjectTerms | Digestive System Surgical Procedures - methods Female Follow-Up Studies Humans Magnetic Resonance Imaging Male Middle Aged Postoperative Complications - etiology Prognosis Rectal Neoplasms - mortality Rectal Neoplasms - pathology Rectal Neoplasms - physiopathology Rectal Neoplasms - surgery Rectum - pathology 临床表现 并发症 治疗方法 直肠癌 |
Title | Preservation of the continence function after intersphincteric resection using a prolapsing technique in the patients with low rectal cancer and its clinical prognosis |
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Volume | 121 |
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