Quality of life outcomes following laparoscopic total mesorectal excision for low rectal cancers: A clinical control study

Yang, Lie; Yu, Yanyan; Zhou, Zong‐Guang; Li, Y.; Xu, Bo; Song, James; Liu, H.-Y.; Jiang, Xia

doi:10.1016/j.ejso.2006.11.026

Cited by 41 publications

(41 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A few studies allude to this possibility. Yang et al 27 found that some recovery of sexual function occurs over 5 years. Stamopoulos et al 34 and Gervaz et al 30 noted similar trends, but these were not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function After Treatment for Rectal Cancer: A Review

Lee

Stein

et al. 2011

Diseases of the Colon &Amp; Rectum

134

101

View full text Add to dashboard Cite

Sexual function is one element of QOL that may be significantly altered following treatment for rectal cancer, but the incidence and contributing risk factors are generally poorly understood. Nevertheless, the impact of rectal cancer therapy on sexual function should be conveyed to patients preoperatively. In addition to helping patients evolve realistic expectations, it will help clinicians identify those for whom interventions may be appropriate. In the past 10 years, there has been an increase in the number of studies reporting sexual dysfunction following rectal cancer treatment. However, these studies are difficult to interpret collectively for a variety of reasons. Most importantly, sexual dysfunction lacks a standardized definition, which leads to poor comparability between studies. The best inclusive definitions describe sexual dysfunction as a collection of distinct symptoms, which differ for men and women. The absence of sexual activity is sometimes used as a surrogate for sexual dysfunction, but this is confounded by an individual's desire and opportunity for sexual activity, and may not be an accurate reflection of physiologic functionality. Additional factors complicating assimilation of studies include the absence of baseline data, missing data, small sample sizes, and heterogeneity in use of validated and nonvalidated instruments. The purpose of this article is to systematically review the contemporary literature reporting sexual function after rectal surgery to determine the overall risk of sexual dysfunction, evaluate possible contributing factors, and identify questions that should be addressed in future studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Sexual Function After Treatment for Rectal Cancer: A Review

Lee

Stein

et al. 2011

Diseases of the Colon &Amp; Rectum

134

101

View full text Add to dashboard Cite

show abstract

“…However, the technical demands of laparoscopic TME may predispose to nerve injury [15]. Eight studies in the international literature report data on sexual dysfunction after laparoscopic TME [15,17,18,[22][23][24][25]34]. A retrospective, questionnaire-based study by Quah et al [22] showed a higher rate of male sexual dysfunction after laparoscopic resection than after open resection.…”

Section: Discussionmentioning

confidence: 99%

“…Slowly accumulating and rather controversial is the information regarding the effect of laparoscopic rectal surgery on sexual function after rectal cancer surgery [15,17,18,[22][23][24][25]. Four studies compared laparoscopic procedures with open surgery for rectal cancer [15,17,22,23], and three studies used the IIEF score as an assessment tool [15,17,18].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prospective evaluation of sexual function after open and laparoscopic surgery for rectal cancer

et al. 2009

View full text Add to dashboard Cite

Rectal cancer resections were postoperatively associated with a significant reduction in IIEF scores and high rates of sexual dysfunction at 3 and 6 months. The IIEF and domain scores at different assessment points were comparable between the laparoscopic and open surgery groups. Extending the monitoring period and adding more patients in this ongoing prospective study will further elucidate postoperative sexual dysfunction after rectal cancer surgery.

show abstract

“…Yang et al reported fewer male sexual problems and better sexual functioning at 12-18 months after laparoscopic total mesorectal excision for low rectal cancer when compared with open surgery; better sexual life in the laparoscopic group was even observed after 24 months postoperatively [19].…”

Section: Discussionmentioning

confidence: 99%

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

Heroor

Panjwani

Chaskar³

2015

Indian J Surg

View full text Add to dashboard Cite

This study aims to document demographic and intraoperative variables and short-term postoperative outcomes in patients being operated by laparoscopy-assisted colorectal surgeries and assessing the magnitude of impact of the learning curve on surgical results. This study included 101 patients with colonic or rectal pathology getting operated for laparoscopy-assisted colorectal surgeries carried out by the same surgeon over 5 years (2008 to 2013). The patient data was retrospectively analyzed for pre-decided variables. Also, comparison was made between the surgeries performed during the learning curve of initial 30 cases with subsequent operations. Laparoscopic colorectal surgeries give satisfactory results in terms of intraoperative parameters like surgical duration, blood loss, and clinico-pathologic parameters like lymph nodal resection and distal and circumferential margins. Patients undergoing laparoscopic colorectal surgeries fare better in short-term postoperative period while early long-term outcomes appear similar as compared to the standard open colorectal surgeries. The surgical outcomes, both intraoperative and early postoperative, improve significantly once the learning curve is negotiated. Laparoscopic Surgery can be safely used as an alternative to conventional open colorectal surgeries without compromising on oncological principles.

show abstract

Quality of life outcomes following laparoscopic total mesorectal excision for low rectal cancers: A clinical control study

Cited by 41 publications

References 18 publications

Sexual Function After Treatment for Rectal Cancer: A Review

Sexual Function After Treatment for Rectal Cancer: A Review

Prospective evaluation of sexual function after open and laparoscopic surgery for rectal cancer

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

Contact Info

Product

Resources

About