Anorectal dysfunction after laparoscopic low anterior rectal resection for rectal cancer with and without radiotherapy (manometry study)
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F18%3AA1901SW8" target="_blank" >RIV/61988987:17110/18:A1901SW8 - isvavai.cz</a>
Nalezeny alternativní kódy
RIV/00843989:_____/18:E0107006
Výsledek na webu
<a href="https://apps.webofknowledge.com/Search.do?product=WOS&SID=E5bsCQ5YbtRndnhjcDF&search_mode=GeneralSearch&prID=250a8788-cbe4-4812-b062-cbb92e1a5565" target="_blank" >https://apps.webofknowledge.com/Search.do?product=WOS&SID=E5bsCQ5YbtRndnhjcDF&search_mode=GeneralSearch&prID=250a8788-cbe4-4812-b062-cbb92e1a5565</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1002/jso.24885" target="_blank" >10.1002/jso.24885</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Anorectal dysfunction after laparoscopic low anterior rectal resection for rectal cancer with and without radiotherapy (manometry study)
Popis výsledku v původním jazyce
BACKGROUND AND OBJECTIVES:The aim was to evaluate the impact of radiotherapy (RT) on anorectal function of patients with low rectal cancer undergoing low anterior resection (LAR).METHODS:Prospective clinical cohort study conducted to assess the functional outcome by means of high-resolution anorectal manometry and LARS score.RESULTS:In total, 65 patients were enrolled in the study (27 patients underwent LAR without RT, 38 patients underwent RT and LAR). There were no statistically significant differences between study subgroups regarding demographic and clinical data; postoperative morbidity was significantly higher in irradiated patients. One year after the surgery, mean LARS score was significantly higher in patients who underwent RT and surgery. Major LARS was detected in 37.0% of irradiated patients and in 14.8% of patients after surgery alone. Anorectal manometry revealed significantly lower resting pressures in patients after RT and LAR; the squeeze pressures were similar. Rectal compliance and all volumes describing rectal sensitivity (first sensation, urge to defecate, and discomfort volume) were significantly lower in irradiated patients.CONCLUSIONS:RT significantly deteriorates the functional outcome of patients after LAR. Manometry revealed internal sphincter dysfunction, reduced capacity, and compliance of neorectum, which seem to have a significant correlation with LARS presence/seriousness.
Název v anglickém jazyce
Anorectal dysfunction after laparoscopic low anterior rectal resection for rectal cancer with and without radiotherapy (manometry study)
Popis výsledku anglicky
BACKGROUND AND OBJECTIVES:The aim was to evaluate the impact of radiotherapy (RT) on anorectal function of patients with low rectal cancer undergoing low anterior resection (LAR).METHODS:Prospective clinical cohort study conducted to assess the functional outcome by means of high-resolution anorectal manometry and LARS score.RESULTS:In total, 65 patients were enrolled in the study (27 patients underwent LAR without RT, 38 patients underwent RT and LAR). There were no statistically significant differences between study subgroups regarding demographic and clinical data; postoperative morbidity was significantly higher in irradiated patients. One year after the surgery, mean LARS score was significantly higher in patients who underwent RT and surgery. Major LARS was detected in 37.0% of irradiated patients and in 14.8% of patients after surgery alone. Anorectal manometry revealed significantly lower resting pressures in patients after RT and LAR; the squeeze pressures were similar. Rectal compliance and all volumes describing rectal sensitivity (first sensation, urge to defecate, and discomfort volume) were significantly lower in irradiated patients.CONCLUSIONS:RT significantly deteriorates the functional outcome of patients after LAR. Manometry revealed internal sphincter dysfunction, reduced capacity, and compliance of neorectum, which seem to have a significant correlation with LARS presence/seriousness.
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
30212 - Surgery
Návaznosti výsledku
Projekt
—
Návaznosti
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Ostatní
Rok uplatnění
2018
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
J SURG ONCOL
ISSN
0022-4790
e-ISSN
1096-9098
Svazek periodika
117
Číslo periodika v rámci svazku
4
Stát vydavatele periodika
US - Spojené státy americké
Počet stran výsledku
7
Strana od-do
—
Kód UT WoS článku
000428850300021
EID výsledku v databázi Scopus
2-s2.0-85044668156