Intersphincteric resection of the rectum temporary solution for patients rejecting permanent colostomy in low-lying rectal cancer

This was an observational study from prospectively stored data. All patients who underwent intersphincteric resection of the rectum due to low-lying rectal cancer from July 2014 to June 2021 were included in the study, and their records were assessed for intra-operative and 30-day postoperative complications, as well as mortality and their related risk factors and their oncological outcomes in terms of local recurrence at one year.

Results

102 patients were included in this analysis.

Six percent (6/102) of patients had intra-operative complications, including bleeding, and 41% (42/102) had 30-day postoperative complications, which were associated with pelvic side wall attachment of tumor and intra-op complications.

Mortality risk was 12.7% (13/102) in the early postoperative period, and nine patients had a local recurrence within the first year of surgery.

There is a high risk of early postoperative morbidity and mortality after intersphincteric resection of the rectum in our setting. The oncological outcomes are favorable in a population that abhors a permanent colostomy.

Reference:

Bediako-Bowan, A.A.A., Naalane, N. & Dakubo, J.C.B. Morbidity and oncological outcomes after intersphincteric resection of the rectum for low-lying rectal cancer: experience of a single center in a lower-middle-income country. BMC Surg 23, 39 (2023). https://doi.org/10.1186/s12893-023-01940-9

Keywords:

BMC Surgery, Bediako-Bowan, A.A.A., Naalane, N. & Dakubo, J.C.B, Morbidity, and oncological, outcome, intersphincteric, resection, rectum, low-lying, rectal cancer, experience, single, center, lower-middle-income, country.