Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches

Sarı, Ramazan; Kaya, Selçuk

doi:10.14744/scie.2020.99705

Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches

Selçuk KAYA, (Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Ramazan SARI (Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Southern Clinics of Istanbul Eurasia

0 0

Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 8 - 12 Metin Dili: İngilizce DOI: 10.14744/scie.2020.99705 İndeks Tarihi: 17-06-2021

Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches

Öz:

Objective: The aim of this study was to compare the health-related quality of life (HRQoL)results of the open and laparoscopic approaches in patients who underwent a sphincter-preservingresection for rectal cancer.Methods: A total of 122 patients who underwent surgery for rectal cancer at a singlecenter between January 2017 and December 2018 were included in this prospective study.The patients were divided into 2 groups according to the type of surgical procedure: open(n=85) or laparoscopy (n=37). The HRQoL questionnaires employed were the EuropeanOrganization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30(EORTC QLQ-C30) and the European Organization for Research and Treatment of CancerQuality of Life Questionnaire-Colorectal Cancer 29 (EORTC QLQ-CR29).Results: The EORTC QLQ-C30 questionnaire revealed statistically significant differenceswith better results in the laparoscopic group for the following items: global status (p=0.008),role functioning (p=0.003), and nausea/vomiting (p=0.005). A significant difference was seenon the EORTC QLQ-CR29 questionnaire only for the flatulence item, with a better scorerecorded in the laparoscopic group (p=0.02).Conclusion: The laparoscopic approach in rectal cancer surgery was superior to the openapproach in terms of HRQoL in the early period. However, long-term results indicated thatHRQoL was independent of surgical approach.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy) Surg Laparosc Endosc 1991;1:144–50.
2. Dai J, Yu Z. Comparison of clinical efficacy and complications between laparoscopic versus open surgery for low rectal cancer. Comb Chem High Throughput Screen 2019;22:179–86.
3. Chen ST, Wu MC, Hsu TC, Yen DW, Chang CN, Hsu WT, et al. Comparison of outcome and cost among open, laparoscopic, and robotic surgical treatments for rectal cancer: A propensity score matched analysis of nationwide inpatient sample data. J Surg Oncol 2018;117:497–505.
4. Kim YW, Kim IY. Comparison of the Short-Term Outcomes of Laparoscopic and Open Resections for Colorectal Cancer in Patients with a History of Prior Median Laparotomy. Indian J Surg 2017;79:527-33.
5. Pascual M, Alonso S, Parés D, Courtier R, Gil MJ, Grande L, et al. Randomized clinical trial comparing inflammatory and angiogenic response after open versus laparoscopic curative resection for colonic cancer. Br J Surg 2011;98:50–9.
6. Fayers P, Aaronson NK, Bjordal K, Sullivan M. EORTC QLQ C30 scoring manual. Brussels: EORTC Quality of Life Study Group 1995. Available at: https://www.eortc.org/app/uploads/sites/2/2018/02/ SCmanual.pdf. Accessed Feb 16, 2021.
7. Schwenk W, Neudecker J, Haase O, Raue W, Strohm T, Müller JM. Comparison of EORTC quality of life core questionnaire (EORTC- QLQ-C30) and gastrointestinal quality of life index (GIQLI) in patients undergoing elective colorectal cancer resection. Int J Colorectal Dis 2004;19:554–60.
8. Gujral S, Conroy T, Fleissner C, Sezer O, King PM, Avery KN, et al. Assessing quality of life in patients with colorectal cancer: an update of the EORTC quality of life questionnaire. Eur J Cancer 2007;43:1564–73.
9. Whistance RN, Conroy T, Chie W, Costantini A, Sezer O, Koller M. Clinical and Psychometric Validation of the EORTC QLQ-CR29 Questionnaire Module to Assess Health-Related Quality of Life in Patients with Colorectal Cancer. Eur J Cancer 2009;45:3017−26.
10. Nair CK, George PS, Rethnamma KS, Bhargavan R, Abdul Rahman S, Mathew AP, et al. Factors affecting health related quality of life of rectal cancer patients undergoing surgery. Indian J Surg Oncol 2014;5:266–73.
11. Osoba D. Interpreting the meaningfulness of changes in health-related quality of life scores: lessons from studies in adults. Int J Cancer Suppl 1999;12:132–7.
12. Braga M, Frasson M, Vignali A, Zuliani W, Capretti G, Di Carlo V. Laparoscopic resection in rectal cancer patients: outcome and costbenefit analysis. Dis Colon Rectum 2007;50:464–71.
13. Li J, Chen R, Xu YQ, Wang XC, Zheng S, Zhang SZ, et al. Impact of a laparoscopic resection on the quality of life in rectal cancer patients: results of 135 patients. Surg Today 2010;40:917–22.
14. Kang SB, Park JW, Jeong SY, Nam BH, Choi HS, Kim DW, et al. Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol 2010;11:637–45.
15. Yang L, Yu YY, Zhou ZG, Li Y, Xu B, Song JM, et al. Quality of life outcomes following laparoscopic total mesorectal excision for low rectal cancers: a clinical control study. Eur J Surg Oncol 2007;33:575−9.
16. Ng SS, Leung WW, Wong CY, Hon SS, Mak TW, Ngo DK, et al. Quality of life after laparoscopic vs open sphincter-preserving resection for rectal cancer. World J Gastroenterol 2013;19:4764–73.
17. Andersson J, Angenete E, Gellerstedt M, Angerås U, Jess P, Rosenberg J, et al. Health-related quality of life after laparoscopic and open surgery for rectal cancer in a randomized trial. Br J Surg 2013;100:941−9.

APA	Kaya S, Sarı R (2021). Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. , 8 - 12. 10.14744/scie.2020.99705
Chicago	Kaya Selçuk,Sarı Ramazan Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. (2021): 8 - 12. 10.14744/scie.2020.99705
MLA	Kaya Selçuk,Sarı Ramazan Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. , 2021, ss.8 - 12. 10.14744/scie.2020.99705
AMA	Kaya S,Sarı R Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. . 2021; 8 - 12. 10.14744/scie.2020.99705
Vancouver	Kaya S,Sarı R Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. . 2021; 8 - 12. 10.14744/scie.2020.99705
IEEE	Kaya S,Sarı R "Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches." , ss.8 - 12, 2021. 10.14744/scie.2020.99705
ISNAD	Kaya, Selçuk - Sarı, Ramazan. "Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches". (2021), 8-12. https://doi.org/10.14744/scie.2020.99705

APA	Kaya S, Sarı R (2021). Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. Southern Clinics of Istanbul Eurasia, 32(1), 8 - 12. 10.14744/scie.2020.99705
Chicago	Kaya Selçuk,Sarı Ramazan Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. Southern Clinics of Istanbul Eurasia 32, no.1 (2021): 8 - 12. 10.14744/scie.2020.99705
MLA	Kaya Selçuk,Sarı Ramazan Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. Southern Clinics of Istanbul Eurasia, vol.32, no.1, 2021, ss.8 - 12. 10.14744/scie.2020.99705
AMA	Kaya S,Sarı R Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. Southern Clinics of Istanbul Eurasia. 2021; 32(1): 8 - 12. 10.14744/scie.2020.99705
Vancouver	Kaya S,Sarı R Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches. Southern Clinics of Istanbul Eurasia. 2021; 32(1): 8 - 12. 10.14744/scie.2020.99705
IEEE	Kaya S,Sarı R "Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches." Southern Clinics of Istanbul Eurasia, 32, ss.8 - 12, 2021. 10.14744/scie.2020.99705
ISNAD	Kaya, Selçuk - Sarı, Ramazan. "Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches". Southern Clinics of Istanbul Eurasia 32/1 (2021), 8-12. https://doi.org/10.14744/scie.2020.99705