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Functional Outcomes and Patient Satisfaction after Abdominoperineal Resection versus Sphincter-Preserving Techniques for Low Rectal Cancer: A Retrospective Single-Centre Study

Romania +

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August 8, 2025

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August 8, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

For rectal cancer surgery, standard coloanal anastomosis offers superior functional outcomes and continence compared to delayed techniques. Individualized surgical decisions are crucial for balancing oncologic control and patient quality of life.

Area Of Science

  • Colorectal Surgery
  • Surgical Oncology
  • Gastroenterology

Background

  • Balancing oncologic control and quality of life is paramount in rectal cancer surgery.
  • Sphincter-preserving techniques aim to improve functional outcomes, but results vary.
  • Rectal adenocarcinoma management requires careful consideration of surgical approach.

Purpose Of The Study

  • To compare functional outcomes and patient satisfaction across different surgical techniques for rectal cancer.
  • To evaluate the impact of abdominoperineal resection, standard coloanal anastomosis, and delayed coloanal anastomosis on continence and quality of life.
  • To inform individualized surgical decision-making in rectal cancer treatment.

Main Methods

  • Retrospective, observational, single-center study of 62 rectal cancer patients.
  • Inclusion criteria: adenocarcinoma of the rectum =5 cm from the anal verge, post-neoadjuvant therapy.
  • Surgical procedures: abdominoperineal resection, standard coloanal anastomosis, delayed coloanal anastomosis (Turnbull-Cutait). Functional outcomes assessed via LARS and St Marks scores; satisfaction via interviews.

Main Results

  • Standard coloanal anastomosis demonstrated significantly better continence scores than the delayed (Turnbull-Cutait) technique.
  • Abdominoperineal resection was associated with higher rates of pulmonary complications and prolonged inflammation.
  • At one year postoperatively, 80% of patients reported satisfaction with their chosen surgical procedure.

Conclusions

  • While all evaluated techniques can achieve high patient satisfaction, standard coloanal anastomosis appears to yield superior functional outcomes.
  • Individualized surgical strategy, based on comprehensive informed consent, is essential for optimal patient care in rectal cancer.
  • The choice of surgical technique should prioritize functional recovery and quality of life alongside oncologic principles.

Keywords:

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