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Abdominoperineal Resection - Crossref

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Last Updated: 11 November 2022

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Adjuvant chemoradiotherapy does not improve outcomes in patients with fistula-associated anal adenocarcinoma undergoing abdominoperineal resection

Through single-center participation and literature review, this research aims to determine the role of CRT in patients with FAAA treated with APR. All patients with FAAA who received APR in our hospital and reported in the literature were included and divided into three categories for statistical analysis: APR alone, neoadjuvant therapy combined APR, and APR combined postoperative therapy were included and divided into three categories for statistical analysis: APR alone, APR combined APR, and APR combined postoperative therapy Combined postoperative therapy Combined APR. From our retrospective charts review, fifteen patients with FAAA were identified. We found 37 papers describing 62 patients with FAAA treated with APR, including APR. In FAAA treated with APR, combining adjuvant therapy did not appear to improve FAAA's outcomes. Conclusions APR is sufficient to prevent disease in patients with FAAA without lymph node involvement, but it does not appear to prolong life.

Source link: https://doi.org/10.3389/fonc.2022.1061513


Metachronous adenocarcinoma at stoma site 50 years after abdominoperineal resection for carcinoma rectum – A case report and review of literature

Abstract Background Stoma site carcinomas are rare tumors, the majority of which are colonic metachronous carcinomas. Since the majority tumors are diagnosed at an advanced stage, both the patient and the enterostomal therapist must be aware of stomal tumors in order to facilitate early intervention. Hence, here we discuss a case of stomal carcinoma post abdominoperineal resection and its successful administration. In this instance, a 72-year-old male was presented with a nodule over a two-month-old male's stoma site. Stage I metachronous descending colon cancer was discovered by histopathological examination. Conclusion An adenocarcinoma originating from a colostomy site is rare, but it can resurface many years after the completion of the recommended postoperative follow-up period. To facilitate early diagnosis and to recognize the effects of such a recurrence on survival and quality of life, it is vital to prepare ostomates to track the stoma for potential tumors and to monitor the stoma for possible tumors.

Source link: https://doi.org/10.21203/rs.3.rs-1909226/v2


Metachronous adenocarcinoma at stoma site 50 years after abdominoperineal resection for carcinoma rectum – A case report and review of literature

Abstract Background Stoma site carcinomas are rare tumors, the bulk of which are colonic metachronous carcinomas. Since most tumors are detected at an advanced stage, the patient and the enterostomal therapist must be aware of stomal tumors in order to promote early intervention. Therefore, here we discuss a case of stomal carcinoma post abdominoperineal resection and its successful administration. Case Study A 72-year-old male was found with nodule over the stoma site of two months. Conclusion Acute adenocarcinoma stemming from a colostomy site is rare, but it can occur many years after the completion of the recommended postoperative follow-up period. To aid early diagnosis and recovery, it is essential to prepare ostomates to track the stoma for potential tumors and to identify the effects of such a recurrence on longevity and quality of life.

Source link: https://doi.org/10.21203/rs.3.rs-1909226/v1


Long-term oncologic outcomes of intersphincteric resection versus abdominoperineal resection for low rectal cancer without preoperative therapy

Purpose This research examined the oncologic safety of ISR patients with low rectal cancer undergoing intersphincteric resection versus those who underwent APR to determine the oncologic safety of the ISR. Methods This research included 149 patients receiving APR for LRC from January 2010 to December 2020. Conclusions ISR and APR showed close oncological outcomes in this review, despite the surgical approach for patients with LRC without neoadjuvant chemoradiotherapy.

Source link: https://doi.org/10.21203/rs.3.rs-2171587/v1


Exploring the impact of urogenital organ displacement after abdominoperineal resection on urinary and sexual function

Purpose of This study was intended to determine the functional consequences of displacement of urogenital organs after abdominoperineal resection using validated questionnaires. Patients from 16 centers were recruited from APR for primary or recurrent rectal cancer with evaluable pre- and postoperative radiological imaging, and completed urinary and sexual questionnaires. Using median split, Median's job results were compared between minimal or significant displacement using median split. The absolute displacement of the internal urethral orifice and posterior bladder wall was not consistent with UDI-6 in men or women. Conclusions This first analysis of the urogenital organ displacement following APR shows that more displacement of the cervix may lead to impaired sexual growth, as well as decreased sexual function, although no evidence indicates any potential detrimental effects of bladder displacement.

Source link: https://doi.org/10.1007/s00384-022-04234-3


Comparison of Functional and Oncological Outcome of Conformal Sphincter Preservation Operation, Low Anterior Resection and Abdominoperineal Resection in Very Low Rectal Cancer; A Retrospective Comparative Cohort Study with Propensity Score Matching

Purpose: This paper is part of a sphincter preservation program that preserves the anal canal function for very low rectal cancers. In a tertiary referral hospital, patients who underwent conformal sphincter preservation surgery, low anterior resection, or abdominoperineal resection were among those who underwent conformal sphincter preservation therapy between 2011 and 2016. Results: Twenty-one pairs of conformal sphincter preservation treatment procedure vs. low anterior resection and 29 pairs of conformal sphincter preservation technique vs. abdominoperineal resection were selected, as well as a low anterior resection and 29 pairs of conformal sphincter preservation procedure versus s. abdominoperineal resection. The conformal sphincter preservation operation group had shorter distal resection margins than the low anterior resection group, however, no significant differences were found in daily stool frequency, Wexner's incontinence index, distant metastasis, overall survival, and disease-free survival between both groups, but not significantly different results were established among the two groups. The conformal sphincter preservation operation group had shorter operating times and shorter postoperative hospital stay compared to the abdominoperineal resection group. CSPO as well as intersphincteric resection should be done.

Source link: https://doi.org/10.21203/rs.3.rs-1912234/v1


Case control study investigating the clinical utility of NPWT in the perineal region following abdominoperineal resection for rectal adenocarcinoma: a single center study

Background: Perineal wounds after an abdominoperineal resection for rectal adenocarcinoma are common. Delayed wound healing may delay postoperative adjuvant therapy and, as a result, a reduced survival rate. Methods The aim of this research was to determine whether NPWT reduces surgical site infections after APR for rectal adenocarcinoma when the closure is done using a biological mesh and a local flap. The most important result was the surgical site infection rate. The secondary findings were the wound complication rate, the severity of wound infections as determined by the Clavien u2013Dindo classification, length of hospital stay, and surgical revision rate. P > 0. 90 in the control group and 67% in the placebo group. After APR in this case, NPWT did not find to reduce surgical site infections or wound complication severity in perineal wounds, according to a 2013 control study.

Source link: https://doi.org/10.1186/s12893-022-01746-1


Quality of life in adult patients with post-surgical oncological problems to an abdominoperineal resection

Abdominoperineal Resection is a procedure that has been used as the gold standard for the curative treatment of distal rectal cancer. Incontinence, genitourinary function, pain, dysbiosis, exhaustion, foul, pungent odor and leaks, self limits in social life, and perhaps even effects on body image are all affecting the patient undergoing abdominoperineal resection because of the patient's enduring difficulties, such as depressive symptoms and varying degrees of anxiety.

Source link: https://doi.org/10.18203/2349-2902.isj20221914


Quality of Life after Rectal Cancer Resection Comparing Anterior Resection, Abdominoperineal Resection, and Complicated Cases

Introduction: Compared to abdominoperineal resection, the possibility of impaired functional outcome and postoperative complications related to a chronic or additional requirement for ostomy may have been reduced compared to abdominoperineal resection. With a special separate review of AR and APR patients with a stoma, the aim of our research was to compare quality of life after AR and APR. Methods: QoL of 84 APR, 356 AR, and 29 AR patients with complications and an additional stoma, which was described as converted therapy patients, was compared to groups and effect of radiotherapy, according to the test. All patients underwent rectal resection between 1998 and 2013, and 47% of the patients had RT. AR and APR patients were equally high, whereas COT patients had a significantly lower score of 50, demonstrating that global health status was similarly high. In the COT group and in all patients treated by RT, the reduction of QoL instances was significant.

Source link: https://doi.org/10.1159/000520945

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions