Low Rectal Carcinoma: Balancing Oncological Efficacy and Quality of Life in Surgical Decision Making
Keywords:
Low Rectal Carcinoma, Oncological Efficacy, Quality of LifeAbstract
Background: Low rectal carcinoma remains a formidable surgical and oncological challenge due to its anatomical proximity to the anal sphincter, its impact on bowel function, and the complex interplay between curative resection and postoperative quality of life. Over recent decades, significant advancements have expanded the range of surgical options,from traditional abdominoperineal resection with permanent colostomy to sphincter-preserving procedures and innovative reconstructive techniques such as continent perineal colostomy. However, the optimal approach must not only ensure oncological efficacy but also prioritize functional outcomes and patient well-being.
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Pachler J, Wille-Jørgensen P. Quality of life after rectal resection for cancer, with or without permanent colostomy. Cochrane Database Syst Rev. 2012;12:CD004323.
Sun V, Grant M, Wendel CS, et al. Dietary adjustment and bowel symptoms in long-term colorectal cancer survivors. J Cancer Surviv. 2013;7(3):373-382.
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