Comparison of postoperative laparoscopic and open total mesorectal excision on lower urinary tract function in men with rectal cancer.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-07-01 Epub Date: 2022-02-15 DOI:10.1111/luts.12429

Zhenglei Fei, Jiazi Yu, Bin Huang, Liangbin Jin

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Abstract

Objectives: This study investigated male voiding dysfunction (VD) or lower urinary tract function in rectal cancer (RC) patients after laparoscopic or open total mesorectal excision with pelvic autonomic nerve preservation (PANP).

Methods: One hundred and eighty-seven male RC patients admitted between January 2016 and May 2019 were enrolled in this study, 112 of whom underwent laparoscopic total mesorectal excision (LTME) and 75 underwent open total mesorectal excision (OTME). The International Prostatic Symptom Score (IPSS) was compared between the two groups.

Results: The postoperative IPSS in patients with RC was elevated on day 7 and gradually decreased during the first month after surgery. Compared with the OTME group, the IPSS scores decreased less in the LTME group at week 1, and months 1 and 3 postoperatively (6.82 ± 2.13 vs 10.15 ± 3.86, 5.70 ± 2.45 vs 7.21 ± 2.0, and 5.01 ± 2.09 vs 5.75 ± 2.55, respectively; P < 0.05). The VD rate was significantly lower in the LTME group than the OTME group at 1, 2, and 3 weeks postoperatively (21.4% vs 26.8%,13.4% vs 25.3%, and 9.8% vs18.6%, respectively; P < 0.05); however, there was no major difference in the incidence of VD 6 months postoperatively between the two groups (P > 0.05). VD was more frequent in the OTME group than the LTME group 6 months postoperatively, but the difference was not statistically significant (odds ratio = 1.857, 95% CI, 0.964-3.645, P = 0.064).

Conclusions: LTME may be superior to OTME with respect to PANP of lower urinary tract function in males with RC.

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直肠癌术后腹腔镜与开放式全肠系膜切除术对男性下尿路功能的影响。

目的:本研究探讨直肠癌(RC)患者在腹腔镜或开放式全肠系膜切除术后盆腔自主神经保留(PANP)的男性排尿功能障碍(VD)或下尿路功能。方法:2016年1月至2019年5月期间入院的187例男性RC患者纳入本研究，其中112例接受腹腔镜全肠系膜切除术(LTME)， 75例接受开放式全肠系膜切除术(OTME)。比较两组患者的国际前列腺症状评分(IPSS)。结果:RC患者术后IPSS在术后第7天升高，术后1个月内逐渐降低。与OTME组相比，LTME组在术后第1周、第1个月和第3个月IPSS评分下降幅度较小(分别为6.82±2.13 vs 10.15±3.86、5.70±2.45 vs 7.21±2.0、5.01±2.09 vs 5.75±2.55);P 0.05)。术后6个月，OTME组VD发生率高于LTME组，但差异无统计学意义(优势比= 1.857,95% CI, 0.964-3.645, P = 0.064)。结论:对于RC男性下尿路功能的PANP, LTME可能优于OTME。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.