Immediate and long-term results of sphincter-saving operations in patients with the adenocarcinoma of the anal canal

Authors

  • Yu. V. Dumanskyi M. Horkyi Donetsk National Medical University
  • V. H. Ketov

DOI:

https://doi.org/10.11603/2414-4533.2016.3.6785

Abstract

The article presents an analysis of the immediate and long-term results of treatment of 183 patients with adenocarcinoma of the anal canal. There was studied the histological and morphological structure of adenocarcinomas of the anal canal, the frequency and nature of postoperative complications, one-, three- and five-year survival of patients, incontinence indicators and quality of life of patients after abdominal extirpation or abdominal-anal resection of the rectum. It was proved that the sphincter-saving operations in patients with adenocarcinomas of the anal canal does not increase the risk of perioperative complications, but, instead, helps to reduce the frequency of postoperative complications and allows the patients to relieve from colostomy, which improves the quality of life of patients after surgery. 

References

A twenty-year experience with adenocarcinoma of the anal canal / G. J. Chang, R. J. Gonzalez, J. M. Skibber [et al.] // Dis. Colon. Rectum. – 2009. – Vol. 52(8). – P. 1375–1380. Rezhym dostupu: www.ncbi.nih.gov.... PMID: 19617747.

Adenocarcinoma of the anal canal – a systematic review / S. Anwar, H. Welbourn, J. Hill D. Sebag-Montefiore // Colorectal Dis. – 2013. – Vol. 15(12). – P. 1481–1488. Rezhym dostupu: www.ncbi.nih.gov.... PMID: 23809885

Adenocarcinoma of the Anal Canal. Narrative Review / M. F. Márquez, F. J. V. Albendea, R. B. Lozano [et al.] // Sirugia Espanola. – 2013. – Vol. 91, No. 05. – P. 281–286. Rezhym dostupu: www.elsevier.es/cirugia.

Analysis of the clinical factors associated with anal function after intersphincteric resection for very low rectal cancer / T. Tokoro, K. Okuno, J. Hida [et al.] // World J. Surg. Oncol. – 2013. ¬¬– Vol. 11. – P. 24. Rezhym dostupu: http://www.wjso.com/content/11/1/24

Garrett K. Anal neoplasms / K. Garrett, M. F. Kalady // Surg. Clin. North. Am. – 2010. – Vol. 90, No. 1. – P. 147–1161. Rezhym dostupu: www.ncbi.nih.gov.... 20109639.

Leonard D. Neoplasms of Anal Canal and Perianal Skin / D. Leonard, D. Beddy, E. J. Dozois // Clin. Colon Rectal Surg. – 2011. – Vol. 24, No. 1. – P. 54–63 Rezhym dostupu: www.ncbi.nih.gov.... PMC3140334

Malignancies of the anal canal / L. Lintzeris, X. Agrogianni, P. Prigouris [et al.] // Tech. Coloproctol. – 2011. – Vol. 15. – S87–S89. Rezhym dostupu: www.ncbi.nih.gov.... 21887557

Martin S. T. Systematic review of outcomes after intersphincteric resection for low rectal cancer / S. T. Martin, H.M. Heneghan, D. C. Winter // Br. J. Surg. – 2012. – Vol. 99 (5). – P. 603–612. Rezhym dostupu: www.ncbi.nih.gov.... PMID: 22246846;

Meriden Z. Anal duct carcinoma: a report of 5 cases / Z. Meriden, E. A. Montgomery // Human Pathol. – 2012. – Vol. 43. – P. 216–220.

Oncological and functional outcomes of intersphincteric resection for low rectal cancer / L. J. Kuo, C. S. Hung, C. H. Wu [et al.] // J. Surg. Res. – 2011. – Vol. 170. – P. e93–e98. Rezhym dostupu: www.ncbi.nih.gov.... 21704326.

Perianal adenocarcinoma associated with anal fistula: a report of 11 cases in a single institution focusing on treatment and literature review / K. Hongo, S. Kazama, E. Sunami [et al.] // Hepatogastroenterology. – 2013. – Vol. 60 (124). – P. 720–726.

Shia J. An Update on Tumors of the Anal Canal. / J. Shia // Archives of Pathology & Laboratory Medicine. – 2010. – Vol. 134, No. 11. – P. 1601–1611. Rezhym dostupu: http://www.archivesofpathology.org/doi/10.1043/2009-0668.

Sphincter preservation in low rectal cancer is facilitated by preoperative chemoradiation and intersphincteric dissection / M. R. Weiser, H. M. Quah, J. Shia [et al.] // Ann. Surg. – 2009. – Vol. 249. – P. 236–242. 1921276.

The epidemiology of anal cancer / A. E. Grulich, I. M. Poynten, D. A. Machalek [et al.] // Sex Health. – 2012. – Vol. 9, No. 6. – P. 504–508. Rezhym dostupu: www.ncbi.nih.gov.... 22958581.

Published

2016-11-02

How to Cite

Dumanskyi, Y. V., & Ketov, V. H. (2016). Immediate and long-term results of sphincter-saving operations in patients with the adenocarcinoma of the anal canal. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3). https://doi.org/10.11603/2414-4533.2016.3.6785

Issue

Section

ORIGINAL INVESTIGATIONS