scholarly journals Defecation disorder and anal function after surgery for lower rectal cancer in elderly patients

2021 ◽  
Author(s):  
Takahiro Korai ◽  
Emi Akizuki ◽  
Kenji Okita ◽  
Toshihiko Nishidate ◽  
Koichi Okuya ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Elderly Patients ◽  
Lower Rectal Cancer ◽  
Anal Function ◽  
Defecation Disorder

scholarly journals Rectal prolapse following short-course radiotherapy for rectal cancer: report of a case

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Fabio Nocera ◽  
Markus von Flüe ◽  
Daniel C Steinemann
Keyword(s):  
Rectal Cancer ◽  
Adverse Event ◽  
Elderly Patients ◽  
Rectal Prolapse ◽  
Tumor Staging ◽  
Advanced Rectal Cancer ◽  
Lower Rectal Cancer ◽  
Short Course ◽  
Short Course Radiotherapy ◽  
New Onset

Abstract Palliative short-course radiotherapy may be considered as an alternative to abdominoperineal resection in elderly patients with advanced rectal cancer. A 92-year-old woman was diagnosed with a rectal prolapse after short-course radiotherapy; 2 months before she was diagnosed with advanced lower rectal cancer. A curative approach was declined. Therefore, a palliative short-course radiotherapy followed. Two weeks after termination of radiotherapy, a symptomatic rectal prolapse has been observed. Endoscopy confirmed a tumor completely included in the prolapsing rectum. A rectal prolapse resection by Altemeier’s technique was performed. Histological examination downgraded the tumor staging to ypT1 M0. This case discusses whether the prolapse was preexisting and led to overstaging the tumor or whether the prolapse is a new-onset complication of the radiotherapy. It seems of paramount importance to detect preexisting rectal prolapse to avoid overstaging. If presumed rectal prolapse was not present before therapy, rectal prolapse may represent a new-onset adverse event of short-course radiotherapy.

scholarly journals Retrospective study of the functional and oncological outcomes of conformal sphincter preservation operation in the treatment of very low rectal cancer

2020 ◽  
Vol 24 (10) ◽  
pp. 1025-1034 ◽  
Author(s):  
G. Sun ◽  
Z. Lou ◽  
H. Zhang ◽  
G. Y. Yu ◽  
K. Zheng ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Rectal Wall ◽  
Anal Verge ◽  
Disease Free Survival ◽  
Sphincter Preservation ◽  
Low Rectal Cancer ◽  
Anal Function ◽  
Oncological Outcomes ◽  
Rectal Cancers ◽  
Very Low Rectal Cancer

Abstract Background Conformal sphincter preservation operation (CSPO) is a new surgical procedure for very low rectal cancers (within 4–5 cm from the anal verge). CSPO preserves more of the dentate line and distal rectal wall and also avoids injuring nerves in the intersphincteric space, resulting in satisfactory anal function after resection. The aim of this study was to analyze the short-term surgical results and long-term oncological and functional outcomes of CSPO. Methods Consecutive patients with very low rectal cancer, who had CSPO between January 2011 and October 2018 at Changhai Hospital, Shanghai were included. Patient demographics, clinicopathological features, oncological outcomes and anal function were analyzed. Results A total of 102 patients (67 men) with a mean age of 56.9 ± 10.8 years were included. The median distance of the tumor from the anal verge was 3 (IQR, 3–4) cm. Thirty-five patients received neoadjuvant chemoradiation (nCRT). The median distal resection margin (DRM) was 0.5 (IQR, 0.3–0.8) cm. One patient had a positive DRM. All circumferential margins were negative. There was no perioperative mortality. The postoperative complication rate was 19.6%. The median duration of follow-up was 28 (IQR, 12–45.5) months. The local recurrence rate was 2% and distant metastasis rate was 10.8%. The 3-year overall survival and disease-free survival rates were 100% and 83.9%, respectively. The mean Wexner incontinence and low anterior resection syndrome scores 12 months after ileostomy reversal were 5.9 ± 4.3, and 29.2 ± 6.9, respectively. Conclusions For patients with very low rectal cancers, fecal continence can be preserved with CSPO without compromising oncological results.

Locally Advanced Rectal Cancer: Treatment Approach in Elderly Patients

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Francesca De Felice ◽  
Daniele Crocetti ◽  
Veronica Maiuri ◽  
Martina Parisi ◽  
Francesco Marampon ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Elderly Patients ◽  
Cancer Treatment ◽  
Treatment Approach ◽  
Locally Advanced ◽  
Advanced Rectal Cancer ◽  
Locally Advanced Rectal Cancer ◽  
Rectal Cancer Treatment
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