scholarly journals A study on the clinical application of greater omental pedicle flap transplantation to correct anterior resection syndrome in patients with low rectal cancer

2021 ◽  
Vol 18 ◽  
pp. 146-151
Author(s):  
Haiquan Qin ◽  
Linghou Meng ◽  
Zigao Huang ◽  
Jiankun Liao ◽  
Yan Feng ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Clinical Application ◽  
Anterior Resection ◽  
Low Rectal Cancer ◽  
Pedicle Flap ◽  
Anterior Resection Syndrome ◽  
Omental Pedicle Flap

scholarly journals A Study on the Clinical Application of Greater Omental Pedicle Flap Transplantation to Correct Anterior Resection Syndrome in Patients With Low Rectal Cancer

2020 ◽  
Author(s):  
haiquan qin ◽  
Linghou Meng ◽  
Zigao Huang ◽  
Jiankun Liao ◽  
Yan Feng ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Neoadjuvant Chemoradiotherapy ◽  
Low Rectal Cancer ◽  
Anal Function ◽  
Pedicle Flap ◽  
Anterior Resection Syndrome ◽  
Omental Pedicle Flap

Abstract PurposeLow anterior resection syndrome (LARS) is the most common complication after total mesorectal excision (TME) in patients with low rectal cancer and has been a challenge in colorectal surgery that severely impacts the quality of life of patients. This study aimed to introduce a revised surgical procedure which could effectively maintain rectal compliance and significantly improve LARS after the operation.MethodsWe performed mesorectal reconstruction after routine Dixon-TME using greater omental pedicle flap transplantation in 11 patients with low rectal cancer (5 cases of preoperative neoadjuvant chemoradiotherapy, 5 cases of preoperative neoadjuvant chemotherapy, and 1 case of postoperative adjuvant chemotherapy), thereby simulating the initial anatomical structure of the mesorectum and significantly reducing the postoperative anterior resection syndrome. The lars precision syndrome assessment scale (LARSS) was used to access the LARS.ResultsAt 12 weeks after the 11 patients recovered from the anal defecation function, the average score on the LARS questionnaire was 25.5 ± 0.5 (mild). The average time at which anal function began to recover was 6.2 ± 2.6 weeks after surgery. The recovery was rapid, as the rectal and anal function of all patients generally returned to normal levels within 12 weeks, and the quality of life was close to that before surgery. ConclusionGreater omental flap transplantation can significantly improve LARS after Dixon-TME in patients with low rectal cancer.

The burden of low anterior resection syndrome on quality of life in patients with mid or low rectal cancer

2019 ◽  
Vol 28 (3) ◽  
pp. 1199-1206 ◽  
Author(s):  
Ali Bohlok ◽  
Camille Mercier ◽  
Fikri Bouazza ◽  
Maria Gomez Galdon ◽  
Luigi Moretti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Low Rectal Cancer ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome

Quality of life and anterior resection syndrome after surgery for mid to low rectal cancer: A cross-sectional study

2018 ◽  
Vol 44 (7) ◽  
pp. 1031-1039 ◽  
Author(s):  
Loris Trenti ◽  
Ana Galvez ◽  
Sebastiano Biondo ◽  
Alejandro Solis ◽  
Francesc Vallribera-Valls ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Cross Sectional Study ◽  
Low Rectal Cancer ◽  
Sectional Study ◽  
Cross Sectional ◽  
Anterior Resection Syndrome

A simple trick to solve a complete rectal stapling failure during anterior resection for low rectal cancer – a video vignette

2021 ◽  
Author(s):  
Luigi Battaglia ◽  
Guglielmo Niccolò Piozzi ◽  
Alessandro Cesa Bianchi ◽  
Luca Sorrentino ◽  
Marcello Guaglio ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Rectal Cancer ◽  
Video Vignette

The impact of timing of stoma closure on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer

2021 ◽  
pp. 126-134
Author(s):  
Hemn Hussain Kaka Ali ◽  
Qalandar Hussein Abdulkarim ◽  
Karzan Seerwan ◽  
Barham M. M .Salih
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anal Verge ◽  
Loop Ileostomy ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Closure Of Ileostomy ◽  
The Mean ◽  
The Impact

This is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) or coarse of chemotherapy. This study aimed to find the effect of temporary ileostomy on post-operative bowel defunction which is called Low anterior resection syndrome (LARS), and include; urgency, difficulty in emptying of bowel, and incontinence for feces and flatus.  A total of 50 patients included in this study, the age ranges from the 19 to 80 years old with a mean age of 51.96 years. The total number of males was (33, %66). Majority of patients were overweight (21, 42%). The distance of tumors from the anal verge were less than 10 cm in (31,62%). The mean duration of fecal diversion was 7.17 months. Loop ileostomy were closed before six months in (27,54%). The mean duration of diversion of patients developed no LARS was 6.87 months which is shorter than those of developed LARS (7.31). Lower BMI patients are more prone to develop LARS, while Obese patients are more susceptible to develop major LARS. Nineteen cases developed LARS among those patient’s ileostomy closed before six months, and 15 cases developed LARS in those ileostomies closed after six months.    

Effect of Left Colonic Artery Preservation on Anastomotic Leakage in Laparoscopic Anterior Resection for Middle and Low Rectal Cancer

2013 ◽  
Vol 37 (12) ◽  
pp. 2935-2943 ◽  
Author(s):  
Takao Hinoi ◽  
Masazumi Okajima ◽  
Manabu Shimomura ◽  
Hiroyuki Egi ◽  
Hideki Ohdan ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Rectal Cancer ◽  
Laparoscopic Anterior Resection
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