4)直腸癌に対する機能温存手術後のQOL(シンポジウム 癌治療におけるQOL, 第515回新潟医学会）

フォーマット:

論文(リポジトリ)

責任表示:

島村, 公年 ; 畠山, 勝義 ; 須田, 武保 ; 酒井, 靖夫

出版情報:

新潟医学会, 1997-03

掲載情報:

新潟医学会雑誌 = 新潟医学会雑誌

ISSN:

00290440      

著者名:

• 島村, 公年
• 畠山, 勝義
• 須田, 武保
• 酒井, 靖夫

巻:

111

通号:

3

開始ページ:

142

終了ページ:

146

バージョン:

publisher

概要:

Recently, function-preserving surgery has become more widely applied to patients with rectal cancer. Compared with abdomioperineal resection, sphincter-saving procedure generally leads to an improved quality of life（QOL）. However, straight … colo-anal anastomsis（St type）for extremely low rectal carcinoma often causes a deterioration. Therefore, we have performed colonic J pouch-anal anastomosis（J type）since 1988. Forty patients who received the J type and 14 who received the St type are discussed. Mean daily stool frequency was 2.4 at 12 months after surgery in the J group, significantly lower than 5.0 in the St group. Frequent bowel movements and urgency placed restrictions on daily life in 29% of the St group, while there were no severe restrictions in the J group. An increased number of patients are undergoing autonomic nerve-preserving procedures, and good functional results have been obtained. The incidence of urinary dysfunction requiring consultation with a urologist was lower in the autonomic nerve-preserving group（3.4%）than in the non-preserving group（34.8%）. Some sexual dysfunction was found in 14.3% of the autonomic nerve-preserving group, and in 92.3% of the non-preserving group. These results that the sphincter and autonomic nerve-preserving procedures produce good postoperative QOL. 続きを見る