Highlight and promotion of comprehensive management and stepwise treatment for low anterior resection syndrome
10.3760/cma.j.cn113855-20241215-00783
- VernacularTitle:关注低位前切除综合征的全程化管理与分阶梯治疗的实施
- Author:
Yingjiang YE
1
Author Information
1. 北京大学人民医院胃肠外科 北京大学人民医院外科肿瘤实验室 北京市结直肠癌诊疗研究重点实验室，北京 100044
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Syndrome;
Sphincter-preserving resections;
Bowel function
- From:
Chinese Journal of General Surgery
2025;40(2):81-84
- CountryChina
- Language:Chinese
-
Abstract:
As the rate of sphincter-preserving surgery increases after proctectocy, low anterior resection syndrome (LARS) has gained increasing attention. The prevention and treatment strategies for LARS have continually improved over the past decade. Colorectal surgeons should focus on whole course management of LARS throughout the pre-, intra-and post-operative period. This includes through preoperative assessment of the risks and benefits of sphincter-preserving resections, intraoperative neurofunctional protection, improvements in bowel reconstruction techniques, and precise identification of distal and proximal margins. Postoperatively, LARS patients should receive standardized, stepwise treatment according to the bowel rehabilitation programme.
