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. 2018 Apr;46(4):1617-1625.
doi: 10.1177/0300060518758841. Epub 2018 Mar 1.

Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results

Călin Molnar  1 , Butiurca Vlad-Olimpiu  2 , Botoncea Marian  2 , Togănel Cornelia  3 , Gurzu Simona  4
Affiliations

Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results

Călin Molnar et al. J Int Med Res. 2018 Apr.

Abstract

Objective This study was performed to evaluate the 1-year survival rate and functional outcomes of 20 patients who underwent intersphincteric resection (ISR) for low rectal cancer. Methods Twenty patients who underwent ISR for low rectal cancer were followed up for 1 year. Complications, functional outcomes objectified by the Wexner score, and oncological outcomes were assessed. Results The short-term survival rate was 100%. The median Wexner score was ≤10 in all patients at 12 months after surgery. Signs of local recurrence were absent, and antigen levels remained within the reference ranges 1 year postoperatively. Conclusions ISR is a feasible alternative in highly selected patients who primarily refuse a colostomy bag and present with type II or III tumors. In the present study, patient-reported continence was satisfactory, and the absence of a colostomy bag increased patients' quality of life. The oncological outcomes were satisfactory at 1 year postoperatively.

Keywords: Intersphincteric resection; Wexner score; functional outcome; low rectal cancer; oncological outcome; short-term survival.

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Figures

Figure 1.
Figure 1.
Wexner scoring system.
Figure 2.
Figure 2.
Wexner scores before and after radiotherapy.
Figure 3.
Figure 3.
Preoperative and postoperative antigen levels.
Figure 4.
Figure 4.
Median Wexner scores.
See this image and copyright information in PMC

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