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- Title
Impact of transanal endoscopic microsurgery on functional outcome and quality of life.
- Authors
Doornebosch, P. G.; Gosselink, M. P.; Neijenhuis, P. A.; Schouten, W. R.; Tollenaar, R. A. E. M.; de Graaf, E. J. R.
- Abstract
Transanal endoscopic microsurgery (TEM) is a minimal invasive technique for local excision of rectal tumours. The procedure is performed via a rectoscope with a diametre of 4 cm. The aim of this prospective study was to assess both functional outcome and quality of life after TEM. Between 2004 and 2006, 47 patients were studied prior to and at least 6 months after TEM. Demographics, operative details and post-operative complications were recorded. Functional outcome was determined using the Faecal Incontinence Severity Index (FISI). Quality of life was measured using the EuroQol EQ-5D questionnaire and the Faecal Incontinence Quality of Life (FIQL) score. Six months after surgery, median FISI score was found to be decreased ( p < 0.01), depicting an improvement in faecal continence. This improvement was most significant in tumours within 7 cm from the dentate line ( p = 0.01). From the patients’ perspective, post-operative quality of life was found to be higher ( p < 0.02). A significant improvement was observed in two of the four FIQLS domains (embarrassment, p = 0.03; lifestyle, p = 0.05). The domains of lifestyle, coping and behaviour and embarrassment were correlated with the FISI (all p < 0.05). This study indicates TEM has no deteriorating effect on faecal continence. Moreover, once the tumour has been excised using TEM, quality of life is improved.
- Subjects
MICROSURGERY; QUALITY of life; TUMORS; PROCTOSCOPY; POSTOPERATIVE period
- Publication
International Journal of Colorectal Disease, 2008, Vol 23, Issue 7, p709
- ISSN
0179-1958
- Publication type
Article
- DOI
10.1007/s00384-008-0442-z