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首页> 外文期刊>Surgical Endoscopy >Impact of laparoscopic surgery on bladder and sexual function after total mesorectal excision for rectal cancer.
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Impact of laparoscopic surgery on bladder and sexual function after total mesorectal excision for rectal cancer.

机译：直肠癌全直肠系膜切除后腹腔镜手术对膀胱和性功能的影响。

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BACKGROUND: Bladder and sexual dysfunction are well-documented complications of rectal cancer surgery. This study aimed to determine whether laparoscopy can improve the outcome of these dysfunctions or not. METHODS: The study included 63 of the 116 patients who underwent surgery for rectal cancer between 2002 and 2006. Bladder and male sexual function were studied by means of a questionnaire on the basis of the International Prostatic Symptom Score (IPSS) and International Index of Erectile Function (IIEF). In addition, bladder function was determined by means of postvoid residual urine measurement and uroflowmetry. Postoperative functions were compared with the preoperative data to detect subjective functional deterioration. Outcomes were compared between patients who underwent open (group 1, n = 29) and laparoscopic (group 2, n = 34) total mesorectal excision. RESULTS: Only minor disturbances of bladder function were reported for one patient (3%) in group 1 and three patients (9%) in group 2 (p > 0.05). Impotency after surgery was experienced by 6 of 17 preoperatively sexually active males (29%) in group 1 and 1 of 18 males (5%) in group 2 (p = 0.04). Similarly, 5 of 10 women (50 %) in group 1 and 1 of 14 women (7%) in group 2 felt that their overall level of sexual function had decreased as a result of surgery (p = 0.03). CONCLUSIONS: Open rectal cancer resection is associated with a higher rate of sexual dysfunction, but not bladder dysfunction, compared with laparoscopic surgery. Laparoscopic rectal cancer surgery offers a significant advantage with regard to preservation of postoperative sexual function and constitutes a true advance in rectal cancer surgery compared with the open technique. The proposed advantages can be attributed to improvement in visibility by the magnification feature of laparoscopic surgery.
机译：背景：膀胱和性功能障碍是直肠癌手术中有据可查的并发症。这项研究旨在确定腹腔镜检查是否可以改善这些功能障碍的预后。方法：该研究纳入了2002年至2006年间接受直肠手术的116例患者中的63例。根据国际前列腺症状评分（IPSS）和国际勃起指数，通过问卷调查了膀胱和男性性功能功能（IIEF）。此外，膀胱功能通过术后无残留尿液测量和尿流测定法测定。将术后功能与术前数据进行比较，以检测主观功能恶化。比较开放性（第1组，n = 29）和腹腔镜（第2组，n = 34）全直肠系膜切除术患者的结局。结果：在第1组中仅报告了1例患者（3％）和在第2组中有3例（9％）患者的膀胱功能轻度紊乱（p> 0.05）。第1组中有17名术前性活跃男性（29％）和第2组中有18名男性中的1名（5％）在手术后出现阳（p = 0.04）。同样，第1组的10名妇女中有5名（50％）和第2组的14名妇女中有1名（7％）感到自己的总体性功能水平由于手术而降低（p = 0.03）。结论：与腹腔镜手术相比，直肠直肠癌切除术与性功能障碍的发生率更高，但与膀胱功能障碍的发生率无关。腹腔镜直肠癌手术在保留术后性功能方面具有显着优势，并且与开放技术相比，在直肠癌手术中具有真正的优势。提出的优点可以归因于通过腹腔镜手术的放大特征的可见性的改善。

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