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Related Experiment Videos

Bladder dysfunction after low anterior resection for mid-rectal cancer

P Kirkegaard, A Hjortrup, S Sanders

    American Journal of Surgery
    |February 1, 1981
    PubMed
    Summary

    Radical low anterior resection for rectal carcinoma can lead to bladder paresis, a complication previously associated with rectal extirpation. Careful urologic follow-up is crucial after this procedure.

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    Area of Science:

    • Surgical Oncology
    • Urology
    • Gastrointestinal Surgery

    Background:

    • Rectal cancer surgery, including low anterior resection, carries risks of postoperative complications.
    • Bladder dysfunction is a known complication after rectal extirpation.

    Purpose of the Study:

    • To investigate the incidence and nature of urologic complications following radical low anterior resection (LAR) with EEA stapling for rectal carcinoma.
    • To determine if bladder paresis occurs after very low anterior resection.

    Main Methods:

    • Twenty consecutive patients with rectal carcinoma underwent radical low anterior resection.
    • Anastomosis was performed using the EEA stapling instrument.
    • Urologic follow-up was conducted 6 to 8 months postoperatively.

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    Main Results:

    • One patient experienced fatal pulmonary complications.
    • Five patients (25%) reported significant urinary tract symptoms post-surgery.
    • Three patients demonstrated evidence of bladder denervation.

    Conclusions:

    • Bladder paresis can occur after radical low anterior resection with anastomosis, similar to rectal extirpation.
    • This complication highlights the importance of diligent urologic monitoring in patients undergoing low anterior resection for rectal cancer.