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01-12-2021 | Rectal Cancer | Original Article

Low Anterior Resection Syndrome in Adults with Rectal Cancer in China: a Case Series Analysis

Authors: Yuan Qiu, Yu Pu, Haidi Guan, Weijie Fan, Shuai Wang, Guangsheng Du, Hua Yang, Weidong Xiao

Published in: Indian Journal of Surgery | Issue 6/2021

Abstract

Low anterior resection syndrome (LARS) comprises a collection of symptoms affecting patients’ defecation after restorative surgery for rectal cancer. The aim of this work was to study the incidence and risk factors for LARS in China. Rectal cancer patients undergoing total mesorectal excision and colorectal anastomosis between May 2012 and January 2015 were identified from a single center. The patients completed the LARS score questionnaire through telephone. The clinical and pathological factors that may influence the occurrence of LARS were analyzed using univariate and multivariate logistic regression analysis. The influence of postoperative recovery time and pelvic dimensions on the occurrence of LARS was also analyzed. This study included 337 patients, at an average age of 61.03 SD11.32. The mean LARS score of the patients was 14.08 (range 0–41). A total of 126 patients (37.4%) developed LARS after surgery, including 63 (18.7%) severe cases. Compared with the scores within the initial 6 postoperative months, the LARS scores of the patients in 6~18 months after the surgery showed significant reductions (p < 0.01). In multivariate analysis, lower locations of anastomosis, pre-surgery radiotherapy, and shorter postoperative recovery time were significant predisposing factors for LARS. A subgroup analysis revealed that patients suffering from LARS over 18 months after surgery were found to have a significantly shorter interspinous distance than those without LARS (p < 0.05). LARS could improve over time after surgery. Lower anastomotic level and pre-surgery radiotherapy are risk factors for LARS.

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Title: Low Anterior Resection Syndrome in Adults with Rectal Cancer in China: a Case Series Analysis
Authors: Yuan Qiu
Yu Pu
Haidi Guan
Weijie Fan
Shuai Wang
Guangsheng Du
Hua Yang
Weidong Xiao
Publication date: 01-12-2021
Publisher: Springer India
Keywords: Rectal Cancer
Rectal Cancer
Radiotherapy
Published in: Indian Journal of Surgery / Issue 6/2021
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-021-02745-x

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Low Anterior Resection Syndrome in Adults with Rectal Cancer in China: a Case Series Analysis

Abstract

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