The impact of anastomotic leakage on the quality of life of patients after surgery for rectal cancer
https://doi.org/10.33878/2073-7556-2024-23-2-117-123
Abstract
AIM: to assess the impact of colorectal anastomotic leakage on the severity of low anterior rectal resection syndrome and the quality of life.
PATIENTS AND METHODS: the results of 375 patients with rectal tumors were analyzed. In 26 patients, surgery was complicated by anastomosis failure. For a assessment of the quality of life of patients with anastomotic leakage, each patient was matched with a pair from the group of respondents with an uncomplicated postoperative period. The quality of life was assessed in all patients using the EORTC QLQ-C30 questionnaire with the Cr-29 module.
RESULTS: patients with anastomosis leakage have more severe low anterior rectal resection syndrome — 29 (17;34), versus 20 (9;28) points (p = 0.03) and a lower global score (p = 0.01), physical (p = 0.01) and social (p = 0.04) functioning. The symptom scales of the EORTC QLQ-C30 questionnaire, supplemented by the Cr-29 module, had significant differences between groups on the scales of body image (p = 0.01), fecal incontinence (p = 0.04) and embarrassment (p = 0.01).
CONCLUSION: colorectal anastomosis leakage negatively affects the quality of life of patients.
About the Authors
E. A. Khomyakov
Ryzhikh National Medical Research Center of Coloproctology;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Salyama Adilya st., 2, Moscow, 123423, Russia
Barrikadnaya st., 2/1, Moscow, 125993, Russia
E. G. Rybakov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya st., 2, Moscow, 123423, Russia
O. I. Sushkov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya st., 2, Moscow, 123423, Russia
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Review
For citations:
Khomyakov E.A., Rybakov E.G., Sushkov O.I. The impact of anastomotic leakage on the quality of life of patients after surgery for rectal cancer. Koloproktologia. 2024;23(2):117-123. https://doi.org/10.33878/2073-7556-2024-23-2-117-123
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