Pedro Leão1,2,3, Catarina Santos1, André Goulart1,2,3, Ana Célia Caetano4, Maria Sousa1, Gerrit Hogemann2,3, Amjad Parvaiz5, Nuno Figueiredo5. 1. General Surgery, Hospital de Braga, Braga, Portugal. 2. Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal. 3. ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal. 4. Gastroenterology, Hospital de Braga, Braga, Portugal. 5. Colorectal Surgery, Champalimaud Foundation, Lisboa, Portugal.
Abstract
Introduction: Some patients undergoing transanal total mesorectal excision (TaTME) may experience post-surgical complications, such as impaired bowel function and urogenital and sexual dysfunction. The present work aims to evaluate the one-year impact of TaTME surgery on bowel function, quality of life, and outcomes.Material and methods: Twenty patients undergoing TaTME with cancer in the mid and lower rectum were assessed prospectively by endoscopic transanal ultrasound (EUS) and three physiological function degrees, along with different clinical outcome questionnaires. Results: EUS sphincter evaluation revealed no structural impact in follow-up. For evacuatory evaluation, differences in the scores of the first postoperative month of Wexner questionnaires were shown when compared to a 12-month period. At least 10% of patients remain with major low anterior resection syndrome (LARS) after one year. The (Fecal incontinence Quality of Life) FiQoL questionnaire revealed that the cases in which values were worse in the first month posteriorly recovered to baseline preoperative values.Conclusions: TaTME does not seem to impact sphincter structure and evacuatory function, with a good recovery rate one year post-surgery, but does not seem to interfere with patients' evacuatory function quality of life.
Introduction: Some patients undergoing transanal total mesorectal excision (TaTME) may experience post-surgical complications, such as impaired bowel function and urogenital and sexual dysfunction. The present work aims to evaluate the one-year impact of TaTME surgery on bowel function, quality of life, and outcomes.Material and methods: Twenty patients undergoing TaTME with cancer in the mid and lower rectum were assessed prospectively by endoscopic transanal ultrasound (EUS) and three physiological function degrees, along with different clinical outcome questionnaires. Results: EUS sphincter evaluation revealed no structural impact in follow-up. For evacuatory evaluation, differences in the scores of the first postoperative month of Wexner questionnaires were shown when compared to a 12-month period. At least 10% of patients remain with major low anterior resection syndrome (LARS) after one year. The (Fecal incontinence Quality of Life) FiQoL questionnaire revealed that the cases in which values were worse in the first month posteriorly recovered to baseline preoperative values.Conclusions: TaTME does not seem to impact sphincter structure and evacuatory function, with a good recovery rate one year post-surgery, but does not seem to interfere with patients' evacuatory function quality of life.
Entities:
Keywords:
TaTME; functional results; laparoscopy; quality of life
Authors: J A G van der Heijden; T Koëter; L J H Smits; C Sietses; J B Tuynman; A J G Maaskant-Braat; B R Klarenbeek; J H W de Wilt Journal: Br J Surg Date: 2020-03-10 Impact factor: 6.939
Authors: Joost A G van der Heijden; Kelly G H van de Pas; Frank J C van den Broek; Francois M H van Dielen; Gerrit D Slooter; Adriana J G Maaskant-Braat Journal: Ann Coloproctol Date: 2021-06-29