Quality of life with and without sphincter-conserving surgery for rectal cancer: Calidad de vida con y sin cirugía conservadora de esfínteres por cáncer de recto

• Autores: Segura González, José Manuel Carlos, Hernández Muñoz, Samantha Isabel, García Galicia, Arturo, Gracián Castro, Esmeralda, Tiscareño Lozano, Iris Isamar, Vera Sánchez, María Guadalupe, Montiel Jarquín, Álvaro José, Bertado Ramírez, Nancy Rosalía
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Universidad Ricardo Palma
• Repositorio: Revistas - Universidad Ricardo Palma
• Lenguaje: español; inglés
• OAI Identifier: oai:oai.revistas.urp.edu.pe:article/5642
• Enlace del recurso: http://revistas.urp.edu.pe/index.php/RFMH/article/view/5642
• Nivel de acceso: acceso abierto
• Materia: Neoplasm; Quality of life; Anastomosis Surgical; Cancer; quality of life; Neoplasia; Calidad de vida; Anastomosis quirúrgica; Cáncer

Introduction: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of death worldwide, with an incidence of 10.2%. The treatment of CRC has evolved over the past 25 years. Two surgical procedures are used: abdominoperineal resection (APR) and low anterior resection (LAR) and ultra-low anterior resection (ULAR). The recurrence rate and quality of life are similar between these approaches. Objective: To compare the quality of life of rectal cancer patients treated with abdominoperineal resection versus conservative sphincter-preserving surgeries: low anterior resection (LAR) and ultra-low anterior resection (ULAR) at UMAE of Puebla. Methods: A comparative, observational, cross-sectional study was conducted on CRC patients treated between 2015 and 2019 at a tertiary-level hospital in Puebla. Two groups were formed: those managed with APR and those managed with LAR/ULAR. The EORTC QLQ-CR29 scale and EuroQol were applied. Descriptive statistics and the Mann-Whitney U test were used for comparisons. Results: A total of 26 patients were recruited, 18 with APR and 8 with LAR/ULAR. The mean quality of life score in the APR group was 73.72 (SD 16.92, minimum 31.46, maximum 95.09), and in the LAR/ULAR group was 56.22 (SD 6.29, minimum 47.51, maximum 68.96), with a p-value of 0.005. Conclusions: There is no significant difference in the quality of life of CRC patients operated with APR, LAR, and ULAR (non-conservative and conservative approaches).