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Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

MORENO B., Natalia et al. Comparative evaluation in quality of life of patients with RAUB, RAUBIE vs APR for rectal cancer. Preliminary report. Rev. cir. [online]. 2019, vol.71, n.1, pp.22-28. ISSN 2452-4557.  http://dx.doi.org/10.4067/S2452-45492019000100022.

Introduction:

The abdominoperineal resection (APR) was the standard treatment of middle-low rectal cancer, in the last 20 years the development of sparing techniques with sphincter preservation with adequate surgical and oncological results has allowed to offer the patient the sphincter apparatus preservation, avoiding the definitive colostomy, however, these techniques may present secondary incontinence to the loss of the rectum. Both surgical options can affect the quality of life of the patient and this element should be considered.

Objective:

To compare the change in quality of life of patients undergoing APR vs sphincter preserving techniques in patients operated for rectal cancer.

Materials and Method:

Cross-sectional cohort study with medium-low rectal cancer patients, operated in our hospital from 2009 to 2015. The instrument EuroQuol-5D2, validated in chilean spanish is used.

Results:

39 patients were included (11 definitive colostomy and 28 sphincter preservation). In the analysis by domains, significant differences were observed favor to definitive colostomy in the Item of “Habitual Activities” and favor to sphincter preservation in the Item “Sexuality”.

Conclusions:

In patients with middle-low rectal cancer, the choice of surgical technique have a measurable impact on the patient's quality of life.

Palabras clave : quality of life; rectal cancer; abdominoperineal resection; sphinter preservation.

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