Functional outcomes of intersphincteric resection in low rectal tumors
Makaleler > Tam Makale · 2022
Yazarlar: Osman BOZBIYIK, Cemil Caliskan, Ozgun Kose, Ozan Verendag, Berk Goktepe, Tayfun Yoldas, Erhan Akgun, Mustafa Ali Korkut
Turkish Journal of Surgery, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Scopus, 2022, cilt 38, ss 180-186
DOI: 10.47717/turkjsurg.2022.5556
Özet
Objectives: Currently, sphincter-saving procedures are increasingly performed in the treatment of low rectal cancers. This study aimed to evaluate the outcomes of patients who underwent intersphincteric resection. Material and Methods: This was a single-center, retrospective, cross-sectional study. We evaluated the electronic data files of 29 patients who had intersphincteric resections at our institute between 2008 and 2018. Bowel function outcomes were assessed prospectively using Wexner incontinence score. Histopathological, surgical and functional outcomes were analyzed. Results: Mean age of nine female and 20 male patients included in the study was 55.8 ± 12.8 (30-76) years. A tumor-free surgical margin was achieved in all patients. Anastomotic leakage was detected in two patients. Mean Wexner incontinence score of 20 patients who still had functional anastomosis was 8.35, whereas 65% of the patients (n= 13) had a good continence status. There was no relationship between the continence status and sex, tumor distance from anal verge, T stage, distal surgical margin, and lymph node involvement. Twenty-one patients underwent primary coloanal anastomosis and eight patients underwent two-stage coloanal anastomosis. Conclusion: In the treatment of distal rectal cancer, adequate oncological surgery and relatively acceptable functional outcomes can be obtained with intersphincteric resection technique in suitable patients.