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| 번호 | 제목 | 등록일 | 조회수 |
|---|---|---|---|
| 101 | Total Anorectal Reconstruction With the Artificial Bowel Sphincter: Report of Eight Cases [2003년 6월 DCR] | 2011-11-17 | 3583 |
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A Quality-of-Life Assessment
Giovanni Romano, M.D.,* Filippo La Torre, M.D.,†Giorgio Cutini, M.D.,‡ Francesco Bianco, M.D.,* Pasquale Esposito, M.D.,*Alberto Montori, M.D.†
From the *Department of Emergency Surgery, “S. Giuseppe Moscati Hospital,” Avellino, Italy, Department of Surgery, University of Rome “La Sapienza,” Rome, Italy, and ‡Department of Surgery, “Casa di Cura Villa Dei Pini,” Civitanova Marche, Italy
PURPOSE: The artificial bowel sphincter has been proposed to treat patients with fecal incontinence. The good results achieved with this procedure encouraged us to use this device for reconversion of patients who previously underwent an abdominoperineal resection.
METHODS: Between 1999 and 2001, we selected eight patients for the total anorectal reconstruction, five for a synchronous reconstruction, and three cases for a delayed procedure. One patient was male and seven were female. The mean age was 52.6 years. All the patients underwent a postoperative manometry and defecography. Continence and quality of life scores were also evaluated in the follow-up.
RESULTS: The follow-up length ranged from 6 to 28 months. Manometry assessed a basal pressure with the ABS cuff inflated between 58 and 62.2 mmHg. All but one patient achieved a good grade of continence with a Wexner score range between 3 and 9. A certain degree of impaired evacuation occurred in three patients, but with adequate training this improved and did not affect patient’s satisfaction. The administered questionnaires demonstrated a significant improvement in quality of life scores for stoma patients and an elevated quality of life in patients synchronously treated with artificial
bowel sphincter implant. CONCLUSION: The artificial bowel sphincter is a good option for reconstruction of patients previously treated with an abdominoperineal resection. The procedure is feasible and safe, without serious
postoperative complications. The quality of life is improved when the procedure is performed in stabilized stoma patients and is acceptable for motivated patients synchronously implanted. As compared with electrostimulated graciloplasty, the artificial bowel sphincter technique seems to be easier to perform and more acceptable for the patients, although the cost of the device is still high. Patients with very low rectal tumors or tumors of the anal canal are still treated with abdominoperineal
resection (APR), although mechanical staplers have reduced the indications for this operation. In these cases, colostomy represents a definitive condition that significantly impairs the quality of life (QOL) of these patients. To improve QOL, many attempts at total anorectal reconstruction (TAR) have been made. Since 1989, some authors have reported their experiences with perineal colostomy and graciloplasty after anorectal resection.2–4 Between 1999 and 2001, a TAR was achieved in eight patients previously operated with an APR by performing a perineal colostomy and placing an artificial bowel sphincter (ABS; Acticon ABS, American Medical Systems, Minneapolis, MN) around the perineal stoma. This procedure was performed by three surgeons in different institutions according to a common protocol. |
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