Diagnosis and treatment of low anterior resection syndrome after intersphincteric resection for low rectal cancer
10.3760/cma.j.cn115610-20240421-00216
- VernacularTitle:经括约肌间切除术后直肠低位前切除综合征的诊断与治疗策略
- Author:
Wenhao CHEN
1
;
Junjie ZHOU
;
Heng HU
;
Xianghai REN
;
Xiaoyu XIE
;
Qun QIAN
;
Congqing JIANG
Author Information
1. 武汉大学中南医院结直肠肛门外科 武汉市便秘盆底疾病临床医学研究中心，武汉430071
- Keywords:
Colorectal neoplasms;
Low;
Intersphincteric resection;
Low anterior resec-tion syndrome;
Efficacy;
Safety
- From:
Chinese Journal of Digestive Surgery
2024;23(6):806-811
- CountryChina
- Language:Chinese
-
Abstract:
Intersphincteric resection (ISR) is an advanced sphincter-preserving surgery for low rectal cancer. Accumulating evidences from clinical studies indicate that ISR can spare some pati-ents with low rectal cancer from the distress of anal amputation while ensuring oncological efficacy. However, due to the necessity of removing part or all of the internal sphincter during rectal resection and the extremely low anastomosis level, a subset of patients may experience low anterior resection syndrome (LARS) after surgery. LARS is characterized by symptoms such as anal incontinence, increased bowel frequency, urgency, incomplete evacuation, and obstructed defecation. Based on relevant literature and team practice, the authors provide an overview of the diagnosis and treat-ment progress of LARS following ISR.
