AIMS: To report the outcomes of anorectal reconstruction by electrostimulated graciloplasty as part of abdominoperineal resection, on data prospectively collected over 10 years. PATIENTS AND METHODS: Twenty-three abdominoperineal resections were associated to coloperineal pull through, double graciloplasty and loop abdominal stoma. Fifteen patients also received an implantable pulse generator, either for unsatisfactory result after external-source intermittent electrostimulation and biofeedback (five cases) or during graciloplasty (10 cases). Follow-up was to a maximum of 10 years. Functional outcome was followed up in sixteen patients who underwent stoma takedown. RESULTS: Mean actuarial survival at 5 years was 72.3%. Satisfactory results (score < or =8) occurred in 75% of patients (three without and 13 with stimulator) in the early stages, decreasing to 57% at 1 year and gradually increasing up to 100% at 5 years and over. CONCLUSIONS: Total anorectal reconstruction yields a good functional outcome over time. Thus, despite, and because of, a high complication rate and a great drain on resources, it should be considered a suitable procedure only for selected, strongly motivated patients.

ANORECTAL RECONSTRUCTION BY ELECTROSTIMULATED GRACILOPLASTY AS PART OF ABDOMINOPERINEAL RESECTION / Violi, Vincenzo; Boselli, A. S.; Debernardinis, M.; Costi, Renato; Pietra, N.; Sarli, Leopoldo; Roncoroni, Luigi. - In: EUROPEAN JOURNAL OF SURGICAL ONCOLOGY. - ISSN 0748-7983. - 31:(2005), pp. 250-258. [10.1016/j.ejso.2004.12.016]

ANORECTAL RECONSTRUCTION BY ELECTROSTIMULATED GRACILOPLASTY AS PART OF ABDOMINOPERINEAL RESECTION

VIOLI, Vincenzo;COSTI, Renato;SARLI, Leopoldo;RONCORONI, Luigi
2005

Abstract

AIMS: To report the outcomes of anorectal reconstruction by electrostimulated graciloplasty as part of abdominoperineal resection, on data prospectively collected over 10 years. PATIENTS AND METHODS: Twenty-three abdominoperineal resections were associated to coloperineal pull through, double graciloplasty and loop abdominal stoma. Fifteen patients also received an implantable pulse generator, either for unsatisfactory result after external-source intermittent electrostimulation and biofeedback (five cases) or during graciloplasty (10 cases). Follow-up was to a maximum of 10 years. Functional outcome was followed up in sixteen patients who underwent stoma takedown. RESULTS: Mean actuarial survival at 5 years was 72.3%. Satisfactory results (score < or =8) occurred in 75% of patients (three without and 13 with stimulator) in the early stages, decreasing to 57% at 1 year and gradually increasing up to 100% at 5 years and over. CONCLUSIONS: Total anorectal reconstruction yields a good functional outcome over time. Thus, despite, and because of, a high complication rate and a great drain on resources, it should be considered a suitable procedure only for selected, strongly motivated patients.
ANORECTAL RECONSTRUCTION BY ELECTROSTIMULATED GRACILOPLASTY AS PART OF ABDOMINOPERINEAL RESECTION / Violi, Vincenzo; Boselli, A. S.; Debernardinis, M.; Costi, Renato; Pietra, N.; Sarli, Leopoldo; Roncoroni, Luigi. - In: EUROPEAN JOURNAL OF SURGICAL ONCOLOGY. - ISSN 0748-7983. - 31:(2005), pp. 250-258. [10.1016/j.ejso.2004.12.016]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/1444659
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