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Date Published: 12/01/2022
Abstract Views: 459
Views PDF: 209
DOI: https://doi.org/10.51298/vmj.v509i1.1692
Issue
Vol. 509 No. 1 (2021)
Section
Các bài báo
How to Cite
Hữu An, H. ., Triều Dương, T. ., Đăng Bình, D. ., Văn Trưởng, N. ., Văn Quốc, L. ., Ngọc Sơn, V. ., Thị Huế, P. ., Thị Tơ, N. ., Thị Hà, T. ., Đăng Trung, L. ., & Thị Tri, N. . (2022). ASSESSMENT OF BOWEL MOVEMENT DYSFUNCTION AND RISK FACTORS FOLLOWING LAPAROSCOPIC LOW ANTERIOR RESECTION FOR RECTAL CANCER. Vietnam Medical Journal, 509(1). https://doi.org/10.51298/vmj.v509i1.1692

ASSESSMENT OF BOWEL MOVEMENT DYSFUNCTION AND RISK FACTORS FOLLOWING LAPAROSCOPIC LOW ANTERIOR RESECTION FOR RECTAL CANCER

Hồ Hữu An1,, Triệu Triều Dương1, Diêm Đăng Bình1, Nguyễn Văn Trưởng1, Lê Văn Quốc1, Vũ Ngọc Sơn1, Phạm Thị Huế1, Ngô Thị Tơ1, Trần Thị Hà1, Lê Đăng Trung1, Nguyễn Thị Tri1
1 108 Military Central Hospital

Main Article Content

Abstract

Introduction: Postoperative bowel movement dysfunction is a challenging problem that greatly affects the quality of life of patients after low anterior resection. The purpose of the study was to evaluate the bowel movement function of patients with rectal cancer who were undergone laparoscopic low anterior resection. Methods: Retrospective study of 82 rectal cancer patients who underwent laparoscopic low anterior resection from July 2018 to July 2020 at 108 Military Central Hospital, Hanoi, Vietnam. Results: mean age was 62.3, there were 65.9% males and 34.1% females. The bowel movement function changed significantly after 1 year: the average score of LARS after 3 months, 6 months, and 1 year were 17.6; 14.0 and 10.6, respectively. In which, the rate of patients with major LARS after 3 months of 26.8% decreased to 14.6% after 1 year. Wexner score: after 3 months 5.9 decreased to 3.4 after 1 year. The rate of patients with normal bowel movements after 3 months 28.0% increased to 46.3% after 1 year. After 3 months, 11.0% of patients with complete faecal incontinence decreased to 7.3% after 1 year. Risk factors: preoperative chemoradiotherapy (p=0.017), tumor location (p=0.02) and method of anastomosis (p=0.01), anastomosis location (p=0.000) is associated with the major LARS after surgery. Conclusion: Bowel movement dysfunction in rectal cancer patients undergoing laparoscopic low anterior resection is a common and persistent problem after surgery. However, bowel function will gradually recover over time. Therefore, it is necessary to monitor and support patients to have a better quality of life.

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References

1. Beppu N., et al., "Long-Term Functional Outcomes of Total Mesorectal Excision Following Chemoradiotherapy for Lower Rectal Cancer: Stapled Anastomosis versus Intersphincteric Resection", Dig Surg. 2016. 33, pp. 33–42.
2. Chen T.Y.T., Emmertsen K.J., Laurberg S., "What Are the Best Questionnaires To Capture Anorectal Function After Surgery in Rectal Cancer?", Curr Colorectal Cancer Rep. 2015. 11, pp. 37-43.
3. Dulskas A., et al., "Long-term bowel dysfunction following low anterior resection", Sci Rep. 2020. 10: 11882.
4. Ekkarat P., et al., "Factors determining low anterior resection syndrome after rectal cancer resection: A study in Thai patients", Asian J Surg. 2016. 39, pp. 225–231.
5. Emmertsen K.J., Laurberg S., "Low anterior resection syndrome score: development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer", Ann Surg. 2012. 255, pp. 922-928.
6. Liu F., et al., "Risk factor analysis of low anterior resection syndrome after anal sphincter preserving surgery for rectal carcinoma", Chin J Gastrointest Surg. 2017. 20, pp. 289–294.
7. Miacci F.L.C., Guetter C.R., et al, "Predictive factors of low anterior resection syndrome following anterior resection of the rectum", Rev Col Bras Cir. 2020. 46:e20192361.
8. T.Y.T. Chen, L.M. Wiltink, "Bowel function 14 years after preoperative short-course radiotherapy and total mesorectal excision for rectal cancer: report of a multicenter randomized trial", Clin Colorectal Cancer. 2015. 14, pp. 106–114.