J.Jpn. Surg. Soc.. 83(9): 1020-1023, 1982
Report on the annual meeting
STUDIES ON VARIOUS TYPE OF RADICAL OPERATION FOR RECTAL CANCER FROM THE POINT OF VIEW OF POST OPERATIVE ANO-RECTAL AND URINARY FUNCTION
|
Department of Surgery, School of Medicine Keio University, Tokyo, Japan Tatsuo Teramoto, Mitsuhiro Ikoma, Joji Kuromizu, Susumu Kodaira, et al. |
Post operative patients who underwent low anterior resection suffered from ano-rectal dysfunction within 3 months but by the 12th post operative months, most of patients recovered satisfactory anorectal function.
Manometric studies showed that dysfunction of the internal anal sphincter will be due to the degree of damage to the pelvic plexus during operation.
Patients who underwent low anterior resection or abdomino-perineal resection suffered from urinary dysfunction in the early stage after operation.
Manometric studies (Cystometry, Urethral Pressure profile) also showed dysfunction of the bladder and the urethra which may be due to damage to the pelvic plexus and the pudendal nerve as well.
For the first step to prevent these dysfunction following radical surgery without any loss of radicality, it is most important to compare each postoperative dysfunction with analysis of each finding of manometric study.
The development of technique to prevent each function as far as possible during radical surgery may be expected.
To read the PDF file you will need Adobe Reader installed on your computer.