logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 8652 352524; +7 8652 353229.

Fax
+7 8652 352524.

E-mail
medvestnik@stgmu.ru

Functional results of the abdominal -anal resection of the rectum for rectal cancer

[Surgery]
Igor Nechai;

The functions inherent to the rectum and its sphincter apparatus were evaluated in patients who underwent abdominalanal resection of the rectum (AARR). The study included 20 patients with rectal cancer who were undergoing AARR. In all patients more than a year has passed after the operation. Evaluation of functional results was performed using the
questionnaire. For an objective assessment of colorectal functions, a computerized device «Kolodinamik-3» (Russia) was used.
According to the results of the questionnaire, unsatisfactory results of evacuation and obturative functions were identified in the majority of patients. More than a third have pronounced disorders of reservoir-accumulative function, in another half of patients, these disorders are less significant. The objective assessment of the obturator function indicates a low tone of the internal anal sphincter and external anal sphincter in most patients. In the fistula zone, in most patients, a rough cicatricial stricture was determined, which deforms the anal canal, disrupts the natural passage of intestinal contents and does not allow adequate control of the anal sphincter and retention of feces and gases. Thus, the majority of patients undergoing AARR, have pronounced disorders in evacuation and obturative functions.

Download

References:
1. Sidorov D. V., Maynovskaya O. A., Lozhkin M. V. Sovremenny podkhod k otsenke radikalnosti khirurgicheskogo lecheniya raka pryamoy kishki. Koloproktologiya. – Coloproctology. 2011;1(35):13-18. (In Russ.).
2. Nevolskikh A. A., Berdov B. A., Lantsov D. V. Distalnoye rasprostraneniye pri rake pryamoy kishki. Koloproktologiya. – Coloproctology. 2009;2(28):19-26. (In Russ.).
3. Kaprin A. D., Starinsky V. V., Petrova G. V. Sostoyaniye onkologicheskoy pomoshchi naseleniyu Rossii v 2014 godu. M.: MNIOI im. P.A. Gertsena, 2016. (In Russ.).
4. Elferink M. A., Visser O., Wiggers T. Prognostic factors for locoregional recurrences in colon cancer. Ann. Surg. Oncol. 2012;19(7):2203-2211.
5. Monson J. R., Weiser M. R., Buie W. D. Practice parameters for the management of rectal cancer (revised). Dis. Colon Rectum. 2013;56(5):535-550.
6. Glimelius B., Tiret E., Cervantes A. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann. Oncol. 2013;24(6):81-88.
7. Chissov V. I. Starinsky V. V., Petrova V. G. Zlokachestvennye novoobrazovaniya v Rossii v 2009 godu (zabolevayemost i smertnost). M.: MNIOI im. P. A. Gertsena, 2011. (In Russ.).
8. Bondar G. V., Yakovets Yu. I., Basheyev V. Kh., Berezhnoy V. V. Bryushno-analnaya rezektsiya pryamoy kishki po povodu raka: rezultaty lecheniya i meditsinskoy reabilitatsii. Vest. khirurgii. – West. Surgery. 1999;158(9):64-66. (In Russ.).
9. Parkin D. M., Bray F., Ferlay J. Global cancer statistics, 2002. CA Cancer J. Clin. 2005;55(2):74-108.
10. Zakharash M. P., Poyda A. I., Melnik V. M. Bryushno-analnaya rezektsiya v khirurgicheskom lechenii nizhneampulyarnogo raka pryamoy kishki. Khirurgiya. – Surgery. 2005;4:52-56. (In Russ.).
11. Kulikovsky V. F., Storozhilov D. A. Rak sredneampulyarnogo otdela pryamoy kishki – kakuyu operatsiyu vybrat? Bryushno-analnaya rezektsiya pryamoy kishki. The Journal Malignant Tumours. Russkoyazychnoye izdaniye. 2012;02(2):49-52.
12. Nechay I. A. Sostoyaniye zapiratelnoy funktsii posle nekotorykh vidov sfinkterosokhranyayushchikh operatsy po povodu raka pryamoy kishki. Vestnik Sankt-Peterburgskogo universiteta. – Herald of St. Petersburg University. 2010;11(1):130-138. (In Russ.).
13. Enker W. E. Potency, cure and local control in the operative treatment of rectal cancer. Arch. Surg. 1992;127(12):1396- 1401.
14. Heald R. J. The «Holy Plane» of rectal surgery. J. R. Soc. Med. 1988;81(9):503-508.

Keywords: rectal cancer, abdominal-anal resection of the rectum, functional results


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy