직장암에서 저위 전방절제술 후 항문직장기능의 변화
Change of Anorectal Function after Low Anterior Resection for Rectal Cancer
윤민영, 최선근, 배선영, 허윤석, 이건영, 김세중, 안승익, 홍기천, 신석환, 김경래, 우제홍,
소속 상세정보
윤민영 ( Yun Min-Young )
인하대학교 의과대학 외과학교실
최선근 ( Choi Sun-Keun )
인하대학교 의과대학 외과학교실
배선영 ( Bae Sun-Young )
인하대학교 의과대학 외과학교실
허윤석 ( Heo Yoon-Seok )
인하대학교 의과대학 외과학교실
이건영 ( Lee Kun-Young )
인하대학교 의과대학 외과학교실
김세중 ( Kim Sei-Joong )
인하대학교 의과대학 외과학교실
안승익 ( Ahn Seung-Ick )
인하대학교 의과대학 외과학교실
홍기천 ( Hong Kee-Chun )
인하대학교 의과대학 외과학교실
신석환 ( Shin Suk-Hwan )
인하대학교 의과대학 외과학교실
김경래 ( Kim Kyung-Rae )
인하대학교 의과대학 외과학교실
우제홍 ( Woo Ze-Hong )
인하대학교 의과대학 외과학교실
KMID : 0356720030190040248
Abstract
Purpose: The anorectal function after a low anterior resection for rectal cancer recovered progressively by 6∼12 months after the operation, but the mechanisms and the recovery process are not well understood. The aim of this study was to correlate postoperative anorectal function after low anterior resection with physiologic parameters.
Methods: Sixty-seven patients who underwent a low anterior resection for rectal cancer were studied. The control group was consisted of normal persons. Anorectal physiologic studies were conducted for 6 months postoperatively by using defecographys, anorectal manometry and electomyogram of pudendal nerve.
Results: The postoperative anorectal function was gradully improved with time. Defecograms showed that the resting, squeezing, and straining anorectal angles were not significantly increased. Anorectal manometry showed that the threshold volume and the urgency volume were not significantly decreased but the maximal tolerable volume was decreased remarkably. The maximal resting pressure significantly decreased but the maximal squeezing pressure were not. The pudendal nerve electromyograms were not significantly different between the two groups. The patients were divided by based on the anastomosis level. The short anastomosis group showed more impairment in the urgency volume and the maximal resting pressure than that of the long anastomosis group.
Conclusion: The neorectal volume and the level of anastomosis were important for changes in the anorectal function after a low anterior resecton. Gradual improvement of symptoms resulted from a resected rectal adapted to a neorectal volum.
키워드
직장암;저위 전방절제술;항문직장기능
Rectal cancer;Low anterior resection;Anorectal function
원문 및 링크아웃 정보
등재저널 정보