Year 2013 Vol. 21 No 4




SHEE "Uzhhorod National University",
The Ukraine

Objectives. To estimate the quality of life after sphincter-preserving operations (SPO) and after the extirpation of the rectum (RE).
Methods. The quality of life was estimated using the American Society of Colorectal Surgeons questionnaire (ASCRS) with the Cleveland Clinic scale of incontinence included. Questionnaires were sent out consequentially 6 months and 1 year after the surgery. The questionnaires of patients who responded both to the first and the second request have been taken into consideration: after SPO 47 questionnaires, after RE 30.
Results. In the period up to 6 months after the SPO the patients with significant or full fecal incontinence dominated (72,4%). Up to 1 year the number of them decreased up to 29,8%, and a good continence was observed in 48,9% of patients after SPO. The proportion of such patients increased up to 4,6 folds, compared to 6 months period. Up to 6 months after the SPO the patients with severe and very severe violations of life quality dominated (70,3%). During the same period after the RE the patients with mild and moderate violations of the quality of life were dominated (73,4%). However, up to the 1st year after SPO the quality of life has improved the patients with mild and moderate degree of disturbance has dominated (80,9%).
Conclusion. The quality of continence after SPO improves with increasing time after the intervention: up to 6 months a significant and full fecal incontinence prevails, but up to 1 year almost 50% of patients have a good result. After extirpation of the rectum the quality of life improves faster than after sphincter-preserving operations, but over time after SPO the number of patients with mild violations of the quality of life is reliably 3 folds higher. The conducted studies demonstrated the advantage of the SPO in rectal cancer to improve the quality of life.

Keywords: colorectal cancer, surgical treatment, sphincter preserving operations, extirpation of the rectum, continence, quality of life
p. 84 89 of the original issue
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Address for correspondence:
88018, Ukraina, g. Uzhgorod, ul. Pobedy, d. 22, Zakarpatskaia oblastnaia klinicheskaia bol'nitsa im. A. Novaka, kafedra khirurgicheskikh boleznei meditsinskogo fakul'teta GVUZ Uzhgorodskii natsional'nyi universitet,
Rusin Vasilii Ivanovich
Information about the authors:
Rusy A.V. MD, professor, a head of oncology chair of the medical faculty of SHEE "Uzhhorod National University".
Ignat A.V. A post-graduate student of oncology chair of the medical faculty of SHEE "Uzhhorod National University".
Rusyn V.I. MD, professor, a head of the surgical diseases chair of the medical faculty of SHEE "Uzhhorod National University".
Chobey S.M. MD, professor of the surgical diseases chair of the medical faculty of SHEE "Uzhhorod National University".
Rumyantsev K.E. PhD, an associate professor of the surgical diseases chair of the medical faculty of SHEE "Uzhhorod National University".
Devinyak O.T. An assistant of the pharmaceutical disciplines chair of the medical faculty of SHEE "Uzhhorod National University".
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