Evaluation of Functional Outcome of Rectal Cancer Management in Two Specialized Centers in the Last Three Years | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 152, Volume 88, Issue 1, July 2022, Pages 3237-3243 PDF (600.91 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2022.247132 | ||
| Authors | ||
| Ali Helmy El-Shewy; Ahmed M. Sallam; Mohammed Ahmed Ibrahim; Mohammed Algazar | ||
| Abstract | ||
| Background: Rectal cancer surgery had achieved remarkable evolution over the past years. Thanks to the adoption of total mesorectal excision and neoadjuvant chemoradiation, local recurrence rates dropped significantly down to 5%. Objective: This study was aimed to evaluate the functional and oncological outcome of rectal cancer management in specialized two centers. Patients and methods: This retrospective study included a total of 30 patients operated for rectal cancer, attending at Zagazig University Hospitals and Meet Ghamer Oncology Center. This study was conducted between 2017 to 2019. Results: This study included 30 cases, 16 were males and 14 were females, operative time ranged from 120-140 minutes with mean 130 minutes. Blood loss ranged between 250-600 cc. Only one case was converted to open surgery. No intraoperative complications like ureteric or bowel injuries were recorded. Postoperative complications were noted in 7 patients, of them 4 patients developed perineal wound infection and they improved with conservative management, one case developed chest infection who was improved with medical treatment, 1 patient developed stoma and sunken refashioning was successfully done, and 1 patient complained of postoperative urinary incontinence and impotence. Conclusion: It could be concluded that laparoscopic surgery improves oncologic and functional outcome better than open because of good visualization of pelvic anatomy. | ||
| Keywords | ||
| Rectal cancer rectum; Oncologic; Open surgery; Laparoscopic surgery | ||
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