Effects of transanal total mesorectal excision and laparoscopic total mesorectal excision on postoperative quality of life and urinary function in patients with middle and lower rectal cancer
10.3760/cma.j.cn115807-20240804-00259
- VernacularTitle:经肛全直肠系膜切除术和腹腔镜全直肠系膜切除术对中下段直肠癌患者术后生活质量及泌尿功能的影响
- Author:
Yan CAO
1
;
Guangfei CUI
1
;
Ling GAO
1
Author Information
1. 商丘市第一人民医院胃肠外科，商丘 476100
- Publication Type:Journal Article
- Keywords:
Rectal cancer;
taTME;
laTME;
Urinary function;
Quality of life
- From:
Chinese Journal of Endocrine Surgery
2025;19(3):409-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of transanal total mesorectal excision (taTME) versus laparoscopic total mesorectal excision (laTME) on postoperative survival indices in patients with lower and middle rectal cancer.Methods:Rectal cancer patients treated in Shangqiu First People’s Hospital from May. 2021 to May. 2024 were selected and treated with different surgical procedures (group A taTME surgery, group B laTME, 50 cases each). The postoperative recovery indicators (hospitalization time, drain withdrawal time, postoperative fluid feeding time, postoperative bedtime, postoperative anal defecation time), postoperative quality of life indicators (physiological function, emotional intelligence, somatic pain, social functioning, mental health, general health), and postoperative urinary function (urinary frequency, urinary incontinence, urinary difficulty) were compared between the two groups.Results:The length of hospital stay, time to removal of drainage tubes, time to first ambulation after surgery, and time to first flatus post-surgery were significantly shorter in group B compared to group A ( P<0.05). However, there was no significant difference in the time to initiate a liquid diet post-surgery between the two groups ( P>0.05). Group B showed significantly higher scores in postoperative quality of life indicators, including overall health, physical functioning, social functioning, and emotional role, compared to group A ( P< 0.05), note: the original comparison should be corrected to ( P<0.05) as the difference is significant. Additionally, the incidence of urinary incontinence was significantly lower in group B than in group A ( P<0.05). However, there was no statistically significant difference in the incidence of urinary frequency or difficulty in urination between the two groups ( P>0.05) . Conclusions:The use of laTME for the treatment of patients with rectal cancer in the lower and middle segments can reduce the postoperative recovery time, promote the postoperative rehabilitation of patients, and improve the postoperative urinary function and quality of life, which has a relatively satisfactory application effect.
