Résumé
Les options thérapeutiques du cancer du rectum poursuivent les objectifs principaux d’un meilleur contrôle local du cancer et d’une amélioration de la survie des malades traités. Cependant, les fonctions de continence fécale et génito-urinaire sont parfois altérées. Les patients doivent donc être pleinement informés des effets indésirables et les chirurgiens doivent mettre en place les meilleures options afin d’en réduire les risques (réservoir colique, préservation sphinctérienne).
Abstract
The development of therapeutic options for rectal cancer strives to reach the ultimate goals of improved local control and overall survival. However, preserving continence, as well as genitourinary and sexual function, remains elusive in some patients. Loss of bowel control may be the most unsettling factor in terms of quality of life. Patients must be accurately informed about the surgery’s possible adverse effects, and surgeons must offer the best options (e.g. colostomy bag or sphincteroplasty) in order to minimize these complaints.
Références
Allal AS, Bieri S, Pelloni A, et al. (2000) Ambrosetti Sphincter-sparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes. Br J Cancer 82: 1131–1137
Dehni N, Tiret E, Singland JD, et al. (1998) Long-term functional outcome after low anterior resection: comparison of low colorectal anastomosis and colonic J-pouch-anal anastomosis. Dis Colon rectum 41: 740–746
Ho Yh, Seow-choen F, Tan M (2001) Colonic J-pouch functions at six months versus straight coloanal anastomosis at two years: randomized controlled trial. World J Surg 25: 876–881
Sik J, Latulippe JF, Alabaz O, et al. (1998) Long-term functional evaluation of straight coloanal anastomosis ans colonic J-pouch. Dis Colon Rectum 41: 740–746
Harris GJC, Lavery IC, Fazio VW (2001) Function of a colonic J pouch continues to improve with time. Br J Surg 88: 1623–1627
Barrier A, Martel P, Gallot D, et al. (1999) Long-term functional results of colonic J-pouch versus straight coloanal anastomosis. Br J Surg 86: 1176–1179
Kneist W, Heintz A, Junginger T (2005) Major urinary dysfunction after mesorectal excision for rectal carcinoma. Br J Surg 92: 230–234
Masui H, Ike H, Yamaguchi S, et al. (1996) Male sexual function after autonomic nerve-preserving operation for rectal cancer. Dis Colon Rectum 39: 1140–1145
Sailer M, Fuchs KH, Fein M, et al. (2002) Randomized clinical trial comparing quality of life after straight and pouch coloanal reconstruction. Br J Surg 89: 1108–1117
Camilleri-Brennan J, Steele RJ (2001) Prospective analysis of quality of life and survival following mesorectal excision for rectal cancer. Br J Surg 88: 1617–1622
Grumann MM, Noack EM, Hoffmann IA, et al. (2001) Comparison of quality of life in patients undergoing abdominoperineal extirpation or anterior resection for rectal cancer. Ann Surg 233: 157–158
Lewis WG, Holdsworth PJ, Stephenson BM, et al. (1992) Role of the rectum in the physiological and clinical results of coloanal and colorectal anastomosis after anterior resection for rectal carcinoma. Br J Surg 79: 1082–1086
Matzel KE, Stademeier U, Muehldorfer S, et al. (1997) Continence after colorectal reconstruction following resection: impact of level anastomosis. Int J Colorect Dis 12: 82–87
Lazorthes F, Gamagami R, Chiotasso P, et al. (1997) Prospective randomized study comparing results between small and large colonic J-pouch following coloanal anastomosis. Dis Colon Rectum 40: 1409–1413
Bretagnol F, Rullier E, Laurent C, et al. (2004) Comparison of functionnal results and quality of life between intersphincteric resection and conventional coloanal anastomosis for low rectal cancer. Dis Colon Rectum 47: 832–838
Dahlberg M, Glimelius B, Graf W, et al. (1998) Preoperative irradiation affects functional results after surgery for rectal cancer. Results from a randomized study. Dis Colon Rectum 41: 543–551
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Siproudhis, L., Alvès, A. & Eléouet, M. Séquelles fonctionnelles de la chirurgie carcinologique du rectum. Côlon Rectum 1, 18–22 (2007). https://doi.org/10.1007/s11725-006-0007-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11725-006-0007-7