Quality of life after surgery for ultra low rectal cancer with partialpreservation of external anal sphincter: LTP67


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Abstract

Aim:Quality of life is discussed widely within last decade especially focusing wheneverpreserve anal sphincters or not.Method:Since 2005, 60 (31 male) patients at median age 54 (range 29-71) were operated for rectal carcinoma within 1 cm from the dental line with partial external anal sphincterpreservation. Anorectal reconstruction was used in allprocedures. All patients were temporary defunctioned. Protective stomas were closed at 8-25 weeks after theprimary surgery. Fourteen patients received a course of biofeedback (BFB) therapy before stoma closure. Forty-two patients were followed up more than 24 months after stoma closure. We used SF-36 questionnaire before and 3, 6, 12, 24 months after stoma reversal as well as myography and vectrum volumetry at the same intervals.Results:Gradual improvement of continence was detected during 12 months after stoma closure and BFB-therapy made the adaptation earlier. We registered almost equal SF-36 (both Mental/Physical Components) results before stoma closure and 3 months later (44.2/38.1 and 45.4/36.8 respectively). With the course of time Mental Component was being improved faster than Physical, and by 24 months after stoma closure they were 54.6 and 44.2 respectively.Conclusion:Partial sphincterpreservation results in good QOL in selected patients with low rectal carcinomas.

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