Patient Reported Outcomes Following Cancer of the Rectum

Launched by HOSPITAL CENTRAL DE LA DEFENSA GÓMEZ ULLA · Feb 26, 2024

Keywords

ClinConnect Summary

The rectum is located in a narrow space, limited by the bone and surrounded tissues, in a very complex and narrow pelvic space. It necessarily implies greater difficulty in achieving tumour-free margins3, and preserving sexual, urinary and fecal continence functions. Depending on the height of the tumor, the difficulty of preserving the anal sphincter arises, being able to perform a low anterior resection (LAR), an ultra-low anterior resection (RAUB) or an intersphincteric ultra-low anterior resection (ISR). Finally, if it is not impossible to preserve the sphincters or to make an anastomos...

Gender

All

Eligibility criteria

• Inclusion Criteria:
• • Patients over 18 years old
• • Informed consent
• • Diagnosed with rectal cancer located below the peritoneal reflection, defined by preoperative MRI
• • Open, laparoscopic, robotic or Transanal Total Mesorectal Excision (taTME) approaches
• • Patinets with/without derivative stoma
• • Patients with/without neoadjuvant treatment
• Exclusion Criteria:
• • Upper rectal cancer, located above the peritoneal reflection
• • Previous radical prostatectomy
• • Previous pelvic radiotherapy due to another tumour
• • Rectal resection without primary anastomosis
• • Intraoperative findings of peritoneal carcinomatosis
• • Stage IV disease
• • Multivisceral or en-bloc resection, which includes uterus, prostate, vagina or bladder
• • Rectal resection due to a benign condition
• • Rectal resection due to a recurrence of rectal cancer (previous anterior resection or another pimary neoplasm)
• • Rectal resection following a 'watch & wait' program
• • Emergency surgery
• • Previous derivative colostomy
• • Inflammatory bowel disease