Long-term functional results and quality of life after transanal endoscopic microsurgery

2011 ◽  
Vol 98 (11) ◽  
pp. 1635-1643 ◽  
Author(s):  
M. E. Allaix ◽  
F. Rebecchi ◽  
C. Giaccone ◽  
M. Mistrangelo ◽  
M. Morino
Keyword(s):  
Quality Of Life ◽  
Transanal Endoscopic Microsurgery ◽  
Functional Results ◽  
Endoscopic Microsurgery

scholarly journals Transanal Endoscopic Microsurgery (TEMS) for Rectal Cancer: Patient Decision-making, Postoperative Experience and Quality of Life

In Vivo ◽  
2021 ◽  
Vol 35 (2) ◽  
pp. 1235-1245
Author(s):  
ALEXANDRA KORELI ◽  
GEORGE BRIASSOULIS ◽  
MICHAIL SIDERIS ◽  
ANASTAS PHILALITHIS ◽  
SAVVAS PAPAGRIGORIADIS
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Rectal Cancer ◽  
Cancer Patient ◽  
Transanal Endoscopic Microsurgery ◽  
Rectal Cancer Patient ◽  
Patient Decision Making ◽  
Patient Decision ◽  
Endoscopic Microsurgery

Functional outcome and quality of life in patients undergoing salvage radical prostatectomy (SRPE).

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 212-212 ◽  
Author(s):  
David Pfister ◽  
Jasmin Pullankavumkal ◽  
Friederike Haidl ◽  
Vahudin Zugor ◽  
Tobias Kohl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Prostatectomy ◽  
Functional Outcome ◽  
Functional Results ◽  
High Rate ◽  
Surgical Interventions ◽  
Eortc Qlq ◽  
Salvage Radical Prostatectomy

212 Background: Salvage radical prostatectomy is one option for patients with locally recurrent disease with proven long term oncologic control. There are concerns about worse functional results due to fibrotic tissue after radiotherapy and patients are treated with palliative systemic androgendreptivation. We retrospectively analyzed continence and quality of life in patients undergoing SRPE. Methods: After biopsy proven local recurrent prostate cancer 138 patients were offered SRPE and extended lymphadenectomy. Continence and quality of life had been collected before 6 and 12 months after surgery. Validated questionaires with ICIQ and EORTC qlq 30 had been used. Results: Präoperatively at 6 monts and 12 months the feed back was available in 93, 84 and 82 patients respectively. Präoperatively there was no or mild incontinence in 38(40.8%), moderate in 33 (35.5%) and strong incontinence in 22 (23.7%) of the patients. There is a significant decrease in the rate of continence after 6 and 12 months to no or mild in 19 (23.1%), moderate in 19 (23.2%) and strong incontinence in 44 (53.7%) of the patients. In 5 patients an artifitial sphinkter was implanted. Quality of life did not change significantly before and 12 months after surgery. Median value of Question 30 was 6 and five respectively. Conclusions: Patients need to be informed about a worse functional outcome and the potential need for further surgical interventions as artificial sphinkter implantion compared to primary radical prostatectomy. Quality of life seems to be affected only moderatly. Nevertheless there is already a rather high rate of any incontinence before surgery that needs to be taken into account.

Long-term functional results and quality of life after ileal pouch-anal anastomosis and cholecystectomy

1992 ◽  
Vol 16 (6) ◽  
pp. 1126-1131 ◽  
Author(s):  
Lothar W. Köhler ◽  
John H. Pemberton ◽  
David O. Hodge ◽  
Alan R. Zinsmeister ◽  
Keith A. Kelly
Keyword(s):  
Quality Of Life ◽  
Ileal Pouch ◽  
Functional Results ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis

scholarly journals Quality of Life and Bowel Dysfunction after Transanal Endoscopic Microsurgery for Rectal Cancer: One Third of Patients Experience Major Low Anterior Resection Syndrome

2019 ◽  
Vol 37 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Maarten van Heinsbergen ◽  
Jeroen W. Leijtens ◽  
Gerrit D. Slooter ◽  
Maryska L. Janssen-Heijnen ◽  
Joop L. Konsten
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Transanal Endoscopic Microsurgery ◽  
Bowel Dysfunction ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome ◽  
Endoscopic Microsurgery

Background/Aims: The low anterior resection syndrome (LARS) severely affects quality of life (QoL) after rectal cancer surgery. Studies investigating LARS and the effect on QoL after transanal endoscopic microsurgery (TEM) for rectal cancer are scarce. The aim of our study was to assess bowel dysfunction and QoL after TEM. Methods: Seventy-three ­patients who underwent TEM for stage I rectal cancer were included in this single-centre, cross-sectional study Bowel dysfunction was assessed by the LARS-Score, QoL by the ­European Organization for the Research and Treatment of Cancer QLQ-C30 and -CR29 questionnaires. Results: Fifty-five respondents (75.3%) could be included for the analyses. The median interval since treatment was 4.3 years, and the median age at the follow-up point was 72 years. “Major LARS” was observed in 29% of patients and “minor LARS” in 26%. Female gender (OR 4.00; 95% CI 1.20–13.36), neo-adjuvant chemoradiotherapy (OR 3.63; 95% CI 1.08–12.17) and specimen thickness in millimetres (OR 1.10 for each mm increase in thickness; 95% CI 1.01–1.20) were associated with the development of major LARS. Patients with major LARS fared worse in most QoL domains. Conclusion: This is the first study demonstrating major LARS after TEM treatment for rectal cancer, with a negative effect on QoL, even years after treatment. Our data provides an adequate counselling before TEM in terms of postoperative bowel dysfunction and its effect on QoL.

scholarly journals Impact of transanal endoscopic microsurgery on functional outcome and quality of life

2008 ◽  
Vol 23 (7) ◽  
pp. 709-713 ◽  
Author(s):  
P. G. Doornebosch ◽  
M. P. Gosselink ◽  
P. A. Neijenhuis ◽  
W. R. Schouten ◽  
R. A. E. M. Tollenaar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Outcome ◽  
Transanal Endoscopic Microsurgery ◽  
Endoscopic Microsurgery

Long-term functional results and quality of life after open partial laryngectomy and non-surgical larynx preservation.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. e17056-e17056
Author(s):  
Beatriz Castelo ◽  
Alejandro Castro ◽  
Luis Alberto Glaria ◽  
Alvaro Pinto ◽  
Antonio del Palacio ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Results ◽  
Partial Laryngectomy ◽  
Larynx Preservation ◽  
Open Partial Laryngectomy

Laparoscopic Approach to Achalasia. Long-term Clinical and Functional Results and Quality of Life

2014 ◽  
Vol 92 (3) ◽  
pp. 188-194
Author(s):  
Franco G. Marinello ◽  
Eduardo M. Targarona ◽  
Carmen Balague ◽  
María Poca ◽  
Joan Mones ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Laparoscopic Approach ◽  
Functional Results
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