Hosseini Seyed Vahid, Gorgi Khadije, Shojaei-Zarghani Sara, Zeinalpour Adel, Mohammadi Armin
Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of General Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2024;13(3):92-95. doi: 10.61186/wjps.13.3.92.
Colorectal cancer is a cancer that starts in the colon or rectum, which are part of the digestive system. Intersphincteric resection (ISR) and very low anterior resection (VLAR) are surgical procedures used in rectal malignancy. We aimed to compare postoperative complications and recurrence after VLAR and ISR techniques in patients with rectal cancer.
In this retrospective study, 80 rectal cancer patients who underwent VLRA and ISR in Shahid Faghihi, and Abu-Ali Sina Charity Hospitals, Shiraz, Iran from 2019 to 2023 were enrolled. Eligible patients were divided into two groups based on the type of operation. One group underwent VLAR (n=40) and the second group of patients underwent ISR(n=40). Postoperative complications and outcomes were compared between the two groups.
The mean age in VLAR and ISR groups was 52.8±14.3 and 54.3±11.6 years, respectively. Low anterior resection syndrome was not significantly different between the two groups (P=0.39). Postoperative fecal incontinence was observed in 27.5% and 22.5% of VLAR and ISR groups, respectively. This difference was not statistically significant (P=0.91). Rectovaginal fistula was reported in 2.5% of patients in both groups (P=0.61).
There was no difference in postoperative complications in VLAR and ISR techniques. Considering the lack of significant difference in the complications of the two surgical groups, it is suggested to choose the surgical method based on the location of the tumor.
结直肠癌是一种起源于结肠或直肠的癌症，结肠和直肠是消化系统的一部分。括约肌间切除术（ISR）和超低位前切除术（VLAR）是用于直肠恶性肿瘤的外科手术。我们旨在比较直肠癌患者接受VLAR和ISR技术后的术后并发症及复发情况。
在这项回顾性研究中，纳入了2019年至2023年期间在伊朗设拉子的沙希德·法吉希医院和阿布·阿里·西纳慈善医院接受VLRA和ISR手术的80例直肠癌患者。符合条件的患者根据手术类型分为两组。一组接受VLAR（n = 40），第二组患者接受ISR（n = 40）。比较两组的术后并发症和结局。
VLAR组和ISR组的平均年龄分别为52.8±14.3岁和54.3±11.6岁。两组之间低位前切除综合征无显著差异（P = 0.39）。VLAR组和ISR组分别有27.5%和22.5%的患者出现术后大便失禁。这种差异无统计学意义（P = 0.91）。两组均有2.5%的患者报告发生直肠阴道瘘（P = 0.61）。
VLAR和ISR技术在术后并发症方面没有差异。考虑到两个手术组的并发症没有显著差异，建议根据肿瘤位置选择手术方法。
