Surgical management of patients with rectal neplastic disease – prediction factors in low anterior resection syndrome

Abstract

The objective of the study Rectal cancer represents a public health issue, considering the increased incidence among the general population in Romania. At present, the ideal management of patients diagnosed with rectal neoplasms, leading to oncological healing while preserving all physiological functions, includes the low anterior resection of the rectum (LARS) with the partial or total excision of the mesorectum. The aim of the paper is to analyze the physiological, psychological and oncological impact of surgical intervention on patients diagnosed with rectal cancer. Material and methods Our study was retrospective, observative, descriptive, unicentric, and took place in the General Surgery and Emergency Clinic IIIrd of the Bucharest University Emergency Hospital, Romania, during 1 January, 2005 –31 December, 2016. The study included a total of 92 patients. Results The values of LARS score ranged from 0-42. The mean LARS scores in the study group were 12.46 with a median of 7 and a 13.06 standard deviation. Conclusions The distance from the anastomosis level to the pectinate line, side-to-end anastomosis, the impossibility to identify the nerves, the occurrence of anastomotic fistula are predictive factors for the occurrence of major LARS during post-surgery evolution.

Keywords

• rectal cancer
• low anterior resection
• colo-rectal anastomosis