Elective subtotal colectomy with ileosigmoid anastomosis for colon cancer preserves bowel function and quality of life

• DOI: 10.1111/codi.12237
• Publication Date: 2013-04-09T12:53:20Z
• Authors: G. Manceau; E. d'Annunzio; M. Karoui; S. Breton; G. Rousseau; A. S. Blanchet; J. C. Vaillant; L. Hannoun
• Keywords: Bowel function; Colonic cancer

We report on our experience of elective subtotal colectomy and ileosigmoid anastomosis for colon cancer with focus postoperative results, function quality life.Between 1998 2011, 106 consecutive patients colonic malignancy underwent this procedure electively. Function life (EORTC QLQ-C30) were evaluated retrospectively questionnaires sent to all free recurrence.There 62 men 44 women (mean age 63 years). Postoperative mortality morbidity rates 1.9 26.4%, respectively. Persistent ileus was the main early complication (16%). After a mean follow-up 67 ± 36 months, 50 (78.1) out 64 have been life. The number bowel movements per 24 h 3 2 significantly lower when length remaining sigmoid more than 15 cm (P = 0.049). Compared European reference population EORTC QLQ-C30 had diarrhoea (26 vs 3, P 0.0002) but less pain (10 25, < 0.0001) better global (77 62, 0.0001).Elective is safe associated good Ileosigmoid should be discussed extended required, providing rectosigmoid junction its vascular supply can oncologically preserved. For tumours located in transverse or at splenic flexure, may best surgical option.