
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:
- 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
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