Cic edizioni internazionali
Il Giornale di Chirurgia

Open sphincter-preserving surgery of extraperitoneal rectal cancer without primary stoma and Fast Track Protocol

Original Article, 257 - 261
doi: 10.11138/gchir/2016.37.6.257
Tag this article
Abstract
Full text PDF
Aim. Fast track protocol (FTP) showed to improve perioperative care. The study aims to evaluate the impact of the FTP in the open extraperitoneal rectal cancer (ERC) surgical treatment without a primary derivative stoma (DS) and the QoL in patients with or without a secondary DS.
Patients and Methods. 50 patients affected by ERC were enrolled and operated on with open low anterior resection without a primary DS. They were randomized in two groups: one was treated perioperativelly in the traditional way (group T), the other using a modif ed FTP (group FT). A QoL questionnaire was administered prior to discharge and at 1-month follow-up.
Results. Five courses (10%) were complicated by anastomotic leakage: 3 (12%) in the FT group (2 minor and 1 maior) and 2 (8%) in the T group (1 minor and 1 maior) (p=n.s.). All the maiors and one minor were treated with a DS. Patients of the group FTP were considered dischargeable earlier that those of group T (p<0.05). Patients with DS had a significantly lower QoL score (p<0.0001).
Conclusion. FTP with minor modifications is feasible and safe in the ERC open surgery without using a DS. Better results were obtained without increasing complication rate. A secondary DS impacts detrimentally on QoL.

Vol. XXXVII (No. 6) 2016 November-December

  1. Mannheim Peritonitis Index (MPI) and elderly population: prognostic evaluation in acute secondary peritonitis
    Salamone G., Licari L., Falco N., Augello G., Tutino R., Campanella S., Guercio G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.243
  2. Early discharge after total thyroidectomy: a retrospective feasibility study
    Tartaglia F., Giuliani A., Sorrenti S., Tromba L., Carbotta S., Maturo A., Carbotta G., De Anna L., Merola R., Livadoti G., Pelle F., Ulisse S.
    doi: 10.11138/gchir/2016.37.6.250
  3. Open sphincter-preserving surgery of extraperitoneal rectal cancer without primary stoma and Fast Track Protocol
    Pappalardo G., Coiro S., De Lucia F., Giannella A., Ruffolo F., Frattaroli F.M.
    doi: 10.11138/gchir/2016.37.6.257
  4. Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series
    Militello G., De Marco P., Falco N., Kabhuli K., Mascolino A., Licari L., Tutino R., Cocorullo G., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.262
  5. Topical hemostasis in laparoscopic surgery
    Vecchio R., Catalano R., Basile F., Spataro C., Caputo M., Intagliata E.
    doi: 10.11138/gchir/2016.37.6.266
  6. Long lasting postoperative ileus after surgery for intestinal obstruction due to left paraduodenal hernia (LPDH). Case report
    Volpi A., Ialongo P., Panebianco A., Lozito R., Prestera A., Laforgia R., Punzo C., Palasciano N.
    doi: 10.11138/gchir/2016.37.6.271
  7. Neuroendocrine tumor of the common bile duct: case report
    Raspanti C., Falco N., Silvestri V., Rotolo G., Bonventre S., Gulotta G.
    doi: 10.11138/gchir/2016.37.6.275
  8. Small bowel obstruction caused by Anisakis and Meckel’s diverticulum: a rare case
    Carbotta G., Laforgia R., Milella M., Sederino M.G., Minafra M., Fortarezza F., Piscitelli D., Palasciano N.
    doi: 10.11138/gchir/2016.37.6.281
  9. XIX CONGRESSO MULTIDISCIPLINARE - Ricerca Scientifica ed Innovazione Tecnologica Etica e Sostenibilità
    Di Matteo G.
  10. 27° CONGRESSO CHIRURGIA DELL’APPARATO DIGERENTE
    Di Matteo G.
  11. Prof. Antonio Petrassi
    Di Matteo G.
Last Viewed articles: la lista degli ultimi x visitati.
  1. Open sphincter-preserving surgery of extraperitoneal rectal cancer without primary stoma and Fast Track Protocol
    Pappalardo G., Coiro S., De Lucia F., Giannella A., Ruffolo F., Frattaroli F.M.
    doi: 10.11138/gchir/2016.37.6.257
credits