Functional impairment and quality of life after rectal cancer surgery

Abstract

Background: The gold standard of rectal surgery remains total mesorrectal excision (ETM) in which laparoscopy is applied for its advantages. The attempt to avoid 17% conversion rate implies that transanal techniques are applied. Transanal ETM (TaETM) is performed by experimental groups with good oncological and morbimortality results. Objective: This study determines the quality of life and the anorectal function of these patients. Method: Observational study of two cohorts comparing patients undergoing rectal tumor surgery using TaETM or conventional ETM after a minimum of six months of intestinal transit reconstruction. EORTC-30, EORTC-29 quality of life questionnaires and the anorectal function assessment questionnaire (LARS score) are applied. General variables are also collected. Results: 31 patients between 2011 and 2014: 15 ETM group and 16 TaETM. We do not find statistically significant differences in quality of life questionnaires or in anorectal function. Statistically significant general variables: Longer surgical time in the TaETM group. Nosocomial infection and minor suture failure in the TaETM group. Conclusion: The performance of TaETM achieves the same results in terms of quality of life and anorectal function as conventional ETM.