| Titre : | QUALITY OF LIFE AND FUNCTIONAL RESULTS AFTER SURGERY OF LOW RECTAL ADENOCARCINOMA | | Type de document : | thèse | | Auteurs : | Oumaïma KENNA, Auteur | | Année de publication : | 2022 | | Langues : | Anglais (eng) | | Mots-clés : | Surgery of low rectal adenocarcinoma Pseudocontinent perineal
colostomy Permanent left iliac colostomy Delayed coloanal
anastomosis Quality of life and functional results Chirurgie de l'adénocarcinome du bas rectum Colostomie périnéale pseudo
continente Colostomie iliaque gauche Anastomose coloanale différée Qualité de vie et
résultats fonctionnels جراحة سرطان المستقیم السفلي فغر القولون العجاني شبھ الحاصر فغر القولون الأیسر مفاغرة القولون المتأخر جودة
الحیاة والنتائج الوظیفیة | | Résumé : | Background: The main goal of rectal cancer surgery is to improve patient survival and assure
higher quality of life. This study aims to assess 1 year quality of life and functional outcomes after
lower rectal cancer resection,compare different surgical techniques of lower rectal cancer surgery
and specifically report the results of pseudocontinent perineal colostomy (PCPC) in comparison
to other surgical methods.
Methods : This is a three year retrospective study conducted from January 2018 to December
2020. After resection of lower rectal adenocarcinoma, patients who had APR+PCPC,
APR+permanent left iliac colostomy (PLIC), total mesorectal excision (TME) +coloanal
anastomosis (CAA) / Colorectal anastomosis (CRA) and TME+delayed coloanal anastomosis
(DCAA) were included. An analysis of demographic and oncological outcomes, an evaluation
of overall survival and an analysis of quality of life and functional results were performed
based on the EORTC C30, CR29 and LARS and Wexner scores.
Results: Our study included 148 patients, 38 had TME+CAA/CRA,31 had TME+DCAA ,51
had APR+PCPC and 28 had APR+PLIC. 83 patients were eligible for the quality of life study.
The PCPC groups showed better results than the PLIC group in terms of quality of life after 12
months. The CAA/CRA group showed higher quality of life and functional results than the
DCAA group. When comparing the quality of life of the PCPC group to sphincter preserving
techniques, the PCPC group had higher scores on global health and both functional and
symptom scales.
Conclusion :Through this work,surgery of lower rectal cancer is possible without stoma by
assuring the same oncological imperative and with certainly a better quality of life not only by
sphincter preserving methods but also with the PCPC | | Numéro (Thèse ou Mémoire) : | M2692022 | | Président : | Raouf MOHSINE | | Directeur : | Amine SOUADKA | | Juge : | Laïla AMRANI | | Juge : | Mohammed Anass MAJBAR | | Juge : | Aziz ZENTAR |
QUALITY OF LIFE AND FUNCTIONAL RESULTS AFTER SURGERY OF LOW RECTAL ADENOCARCINOMA [thèse] / Oumaïma KENNA, Auteur . - 2022. Langues : Anglais ( eng) | Mots-clés : | Surgery of low rectal adenocarcinoma Pseudocontinent perineal
colostomy Permanent left iliac colostomy Delayed coloanal
anastomosis Quality of life and functional results Chirurgie de l'adénocarcinome du bas rectum Colostomie périnéale pseudo
continente Colostomie iliaque gauche Anastomose coloanale différée Qualité de vie et
résultats fonctionnels جراحة سرطان المستقیم السفلي فغر القولون العجاني شبھ الحاصر فغر القولون الأیسر مفاغرة القولون المتأخر جودة
الحیاة والنتائج الوظیفیة | | Résumé : | Background: The main goal of rectal cancer surgery is to improve patient survival and assure
higher quality of life. This study aims to assess 1 year quality of life and functional outcomes after
lower rectal cancer resection,compare different surgical techniques of lower rectal cancer surgery
and specifically report the results of pseudocontinent perineal colostomy (PCPC) in comparison
to other surgical methods.
Methods : This is a three year retrospective study conducted from January 2018 to December
2020. After resection of lower rectal adenocarcinoma, patients who had APR+PCPC,
APR+permanent left iliac colostomy (PLIC), total mesorectal excision (TME) +coloanal
anastomosis (CAA) / Colorectal anastomosis (CRA) and TME+delayed coloanal anastomosis
(DCAA) were included. An analysis of demographic and oncological outcomes, an evaluation
of overall survival and an analysis of quality of life and functional results were performed
based on the EORTC C30, CR29 and LARS and Wexner scores.
Results: Our study included 148 patients, 38 had TME+CAA/CRA,31 had TME+DCAA ,51
had APR+PCPC and 28 had APR+PLIC. 83 patients were eligible for the quality of life study.
The PCPC groups showed better results than the PLIC group in terms of quality of life after 12
months. The CAA/CRA group showed higher quality of life and functional results than the
DCAA group. When comparing the quality of life of the PCPC group to sphincter preserving
techniques, the PCPC group had higher scores on global health and both functional and
symptom scales.
Conclusion :Through this work,surgery of lower rectal cancer is possible without stoma by
assuring the same oncological imperative and with certainly a better quality of life not only by
sphincter preserving methods but also with the PCPC | | Numéro (Thèse ou Mémoire) : | M2692022 | | Président : | Raouf MOHSINE | | Directeur : | Amine SOUADKA | | Juge : | Laïla AMRANI | | Juge : | Mohammed Anass MAJBAR | | Juge : | Aziz ZENTAR |
|
Accueil
Affiner la recherche Faire une suggestionQUALITY OF LIFE AND FUNCTIONAL RESULTS AFTER SURGERY OF LOW RECTAL ADENOCARCINOMA / Oumaïma KENNA
