Garfinkle Richard C, McKenna Nicholas P
Division of Colon and Rectal Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Cancers (Basel). 2024 Jun 24;16(13):2307. doi: 10.3390/cancers16132307.
Postoperative bowel dysfunction following restorative proctectomy, commonly referred to as Low Anterior Resection Syndrome (LARS), is a common long term sequela of rectal cancer treatment. While many of the established risk factors for LARS are non-modifiable, others may be well within the surgeon's control. Several pre-, intra-, and postoperative decisions may have a significant impact on postoperative bowel function. Some of these factors include the extent of surgical resection, surgical approach, choice of anastomotic reconstruction, and use of fecal diversion. This review article summarizes the available evidence regarding how surgical decision-making can affect postoperative bowel function.
直肠切除术后的肠道功能障碍，通常称为低位前切除综合征（LARS），是直肠癌治疗常见的长期后遗症。虽然许多已确定的LARS风险因素是不可改变的，但其他一些因素可能完全在外科医生的控制范围内。术前、术中和术后的一些决策可能会对术后肠道功能产生重大影响。其中一些因素包括手术切除范围、手术方式、吻合口重建的选择以及粪便转流的使用。这篇综述文章总结了关于手术决策如何影响术后肠道功能的现有证据。
