雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Quality of life and anorectal functional results after totally laparoscopic sigmoidectomy with transanal specimen extraction : A retrospective study Atsushi NISHIMURA 1 , Mikako KAWAHARA 1 , Yasuyuki KAWACHI 1 , Shigeto MAKINO 1 , Chie KITAMI 1 , Shintarou FUKUDA 1 , Kizuki YUZA 1 , Keiya NIKKUNI 1 1Department of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital Keyword: 腹腔鏡下大腸切除術 , 経肛門的標本摘出 , QOL pp.817-825
Published Date 2016/11/15
DOI https://doi.org/10.11477/mf.4426200337
  • Abstract
  • Look Inside
  • Reference

【Purpose】 This retrospective study was designed to assess quality of life(QOL) and anorectal functional results after totally laparoscopic sigmoidectomy with transanal specimen extraction(TASE). 【Methods】 Preoperative and postoperative QOL and anorectal function were evaluated in consecutive patients who underwent laparoscopic surgery for sigmoid or rectosigmoid colon cancer, based on SF-36 and Wexner's incontinence score. We compared the results between 32 patients who underwent TASE and 31 patients with laparoscopic assisted colectomy(LAC). 【Results】 There were significantly better scores in the TASE group in vitality at 2weeks after surgery(TASE vs. LAC: 56.3 vs. 48.2; P=0.012), social functioning at 1month(57.0 vs. 44.1; P=0.007), role emotional at 2weeks(51.9 vs. 35.3; P=0.040), and mental health at 2weeks and 2months(54.5 vs. 45.1; P=0.049 and 55.8 vs. 49.1; P=0.010 respectively). The median Wexner's score at 6 months were comparable between the 2 groups(TASE vs. LAC: 1.0 vs. 1.5). Median maximam number of bowel movement per day were significantly lower in the TASE group at 3months(3.0 vs. 4.0; P=0.045). There were no significant differences between the 2 groups at 6 months(3.0 vs. 3.5; P=0.263). 【Conclusion】 Totally laparoscopic sigmoidectomy with TASE was associated with good postoperative QOL and minimal influence on anorectal function in patients with low body mass index, small tumor, and early pathological stage.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有