Skip to main content

Functional Results Following Rectal Surgery: A Review

  • Chapter
Rectal Cancer Surgery

Abstract

The goal of surgical treatment for rectal carcinoma is cure with preservation of body image and anorectal, urinary, and sexual function. However, this goal may not be obtainable in all patients and disease recurrence, the need for a permanent stoma, as well as alterations in anorectal, urinary, and sexual function may occur. In this chapter we will review the functional results following surgical treatment for rectal adenocarcinoma; we will also report on a data-gathering protocol which we use at the University of Chicago to help in the analysis of postoperative function.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cavaliere A, Bragaglia RB, Manara G, Poggioli G, Gozzetti G (1990) Urogenital dysfunction after abdominoperineal resection for carcinoma of the rectum. Dis Colon Rectum 33: 918 – 922

    Article  Google Scholar 

  2. Enker WE (1992) Potency, cure and local control in the operative treatment of rectal cancer. Arch Surg 127: 1396 – 1401

    PubMed  CAS  Google Scholar 

  3. Hojo K, Sawada T, Moriya Y (1989) An analysis of survival and voiding, sexual function after wide ileopelvic lymphadenectomy in patients with carcinoma of the rectum, compared with conventional lymphadenectomy. Dis Colon Rectum 32: 128 – 133

    Article  PubMed  CAS  Google Scholar 

  4. Hojo K, Vernava III AM, Sugihara K, Katumata K (1991) Preservation of urine voiding and sexual function after rectal cancer surgery. Dis Colon Rectum 34: 532 – 539

    Article  PubMed  CAS  Google Scholar 

  5. Kollmorgan CF, Meagher AP, Wolff BG, Pemberton JH, Martenson JA, Illstrup DM (1994) Long term effects of an adjuvant postoperative chemoradiation for rectal carcinoma on bowel function. Ann Surg 220: 676 – 682

    Article  Google Scholar 

  6. Lazorthes F, Fages P, Chiotasso P, Lemozy J, Bloom E (1986) Resection of the rectum with construction of a colonic reservoir and colo-anal anastomosis for carcinoma of the rectum. Br J Surg 73: 136 – 141

    Article  PubMed  CAS  Google Scholar 

  7. Minsky BD, Cohn AM, Enker WE, Sigurdson E (1992) Phase I/II trial of pre-operative radiation therapy and coloanal anastomosis in distal invasive resectable rectal cancer. Int J Radiat Oncol Biol Phys 23: 387 – 392

    Article  PubMed  CAS  Google Scholar 

  8. Nicholls RJ, Lubowski DZ, Donaldson DR (1988) Comparison of colonic reservoir and straight colo-anal reconstruction after rectal excision. Br J Surg 75: 318 – 320

    Article  PubMed  CAS  Google Scholar 

  9. Paty PB, Enker WE, Cohen AM, Minsky BD, Friedlander-Klar H (1994) Long-term functional results of coloanal anastomoses for rectal cancer. Am J Surg 167: 90 – 95

    Article  PubMed  CAS  Google Scholar 

  10. Schrock TR (1995) Abdominoperineal resection – technique and complications. In: Cohen AM, Winawer SJ (eds) Cancer of the colon, rectum and anus. Mc Graw-Hill, New York, pp 595 – 604

    Google Scholar 

  11. Williams NS, Johnston D (1983) The quality of life after rectal excision for low rectal cancer. Br J Surg 70: 460 – 462

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Michelassi, F., Mhoon, D.A. (1997). Functional Results Following Rectal Surgery: A Review. In: Søreide, O., Norstein, J. (eds) Rectal Cancer Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60514-7_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60514-7_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-61566-8

  • Online ISBN: 978-3-642-60514-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics