지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 101 - 104 (4page)
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초록· 키워드
오류제보하기
Purpose: For several decades, the low anterior resection (LAR) with total mesorectal excision (TME) has been the gold standard for treating patients with rectal cancer. Up to 90% of patients undergoing sphincter-preserving surgery will have changes in bowel habits, so-called ‘anterior resection syndrome.’ This study examined patients’ continence after a LAR for the treatment of rectal cancer. Methods: This prospective study was performed between September 2014 and August 2015 at the National Cancer Institute and included 30 patients who underwent anorectal manometry preoperatively and at 3 and 4 months after a LAR, but 10 were excluded from further evaluation for various reasons. Wexner score was recorded preoperatively and 4 months after LAR (1 month after ileostomy repair). Results: Postoperatively, 70% of patients complained of some degree of soiling (incontinence to liquid stool), and 30% experienced urgent defecation. Four months after surgery, these symptoms had somewhat abated. The anal resting pressure and the maximum squeezing pressure did not change significantly. Rectal capacity and compliance were reduced in all patients. The majority of patients demonstrated manometric anorectal changes and clinical anorectal function disorders during the first 4 months after surgery. The Wexner scores and the manometric findings showed no correlation. Conclusion: Many patients undergoing a LAR with TME for the treatment of rectal cancer experience some degree of incontinence postoperatively. Anorectal manometry may be used as an additional tool for evaluating problems with continence after a LAR. No correlation between the Wexner score and the manometric findings was observed.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Heald RJ / 1982 / The mesorectum in rectal cancer surgery: the clue to pelvic recurrence? / Br J Surg 69:613~616
Bryant CL / 2012 / Anterior resection syndrome / Lancet Oncol 13:e403~e408
Lange MM / 2011 / Urinary and sexual dysfunction after rectal cancer treatment / Nat Rev Urol 8:51~57
Heald RJ / 1988 / The ‘Holy Plane’ of rectal surgery / J R Soc Med 81:503~508
Pocard M / 2002 / A prospective study of sexual and urinary function before and after total mesorectal excision with autonomic nerve preservation for rectal cancer / Surgery 131:368~372
Bryant CL / 2012 / Anterior resection syndrome / Lancet Oncol 13:e403~e408
Lange MM / 2011 / Urinary and sexual dysfunction after rectal cancer treatment / Nat Rev Urol 8:51~57
Heald RJ / 1988 / The ‘Holy Plane’ of rectal surgery / J R Soc Med 81:503~508
Pocard M / 2002 / A prospective study of sexual and urinary function before and after total mesorectal excision with autonomic nerve preservation for rectal cancer / Surgery 131:368~372
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