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Quality of life and functional outcomes after coloanal side-to-end anastomosis for rectal cancer
I. Lazaridis, Basel
Thursday, May 17, 2018 · 11:39 a.m. · 07m 20s
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uh_huh
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last part of the session i will present your singles then sent to study about the quality of life
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and functional outcomes of the launcher is action with colin outside tenderness to moses for rectal cancer
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to start with the introduction of tree operative to more education in local advanced
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rectal cancer has facilitated splinter preserving procedures with colour analyst the most is
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however a wide array of symptoms after speak strength or preserving rectal surgery
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including difficulty anything the ball fickle urgency in fickle incontinence which are collectively referred to
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as the launcher is actions ingram present within up to eighty percent reported incidents
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many studies have shown that the symptoms i highly associated to with the
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quality of life of rectal cancer patients who have undergone launchers action
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in order to deal with these symptoms sever reconstructive techniques
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providing direct the reserve or function have been introduced
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these include the colour and shape out the site trent colour analyst to moses in the travel francis colour plastic push each
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several other cities and maternal places have zone superiority of
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the caloric j. pouch when compared to the straight
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and trent colour unless the most however you needed that exists about the other is the what techniques
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you know study will focus on the side trent animals
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the primary endpoint of the study was to evaluate the functional outcome in
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post operative quality of life for patients undergoing launcher is action
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without them as regular c. excision inside trained colour in the end of the most is for it costs
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secondary endpoint was analysis of the patients to more interesting facts others
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factors that may influence the functional outcome in quality of life
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out of two hundred sixty four consecutive patients with cancer located in the middle or does
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the part of the rectum were operated between two thousand three in two thousand sixteen
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how one hundred seventy three patients met that had to get criteria and we're including the study
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reasons for non eligibility were like often forced a lot closer real operation with the
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verdict storm or because of early or late surgical complications or two more cans
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also for all up and or devil patients the study was approved by the local ethics committee
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what patients received poster pay or separately by post the
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questionnaire assessing quality of life and fickle influx continents
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quality of life was assessed through the gastrointestinal quality of life index or better known as g. t. this question i
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was developed to measure quality of life in patients with last
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intestinal diseases and especially in those undergoing surgical treatment
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it consists of thirty six questions asked by depressed patient using like it's skates double
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scroll it caught is calculated by summarising the points from all thirty six questions
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the high score for quality of life is one hundred fifty fifty four
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points incontinence was estimated through the cleveland clinic florida thicken coldness scale
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or better known as works in school which is the most frequently just
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instrument to evaluate the severity of incontinence after launcher is action
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the scoring system is comp out composed of five items which are focused on type and frequency of incontinence
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and lifestyle alterations the lowest cornwall represents perfect confidence
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in the high score twenty represents wars incontinence
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display the shows the patients characteristics image of the bases what sixties was sixty six point two years
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two out of three patients were male diabetes incidence was six point four and smoking incidence
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was seventeen point nine passengers and and the mean followup was approximately thirty two months
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re gotten to regarding treatment card takes six seven out of ten patients were treated
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with pretty operative came already therapy file almost half of the patients received observant
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channel thirty eight of the ten patients were operated through lap wrote to me and the rest underwent a minimal in baseball operation
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among the latter six patients receded of insisted launchers section
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janice to moses was performed we stapler in eighty eight percent of
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the basins and there s. patients received enhance your animals
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this slide shows they hissed about the logic to more characteristics six out of
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ten patients had the two most age between t. new into two
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and forty percent how the t. three stage approximately three out
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of ten patients had the pose the lymph node steps
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now regarding the results i mean low budget you scroll was measured that almost hundred one hundred ten points
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compared to the mean score for normal individual measured measured for the validation of these two
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the score is almost sixteen points lower and that's represents satisfactory
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results in terms of post operative quality of life
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regarding the post operative incontinence the patients have the mean score of seven
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point six for this court represents i might post operative incontinence
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a score of nine or higher has been associated with a negative impact on quality of life
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comparing the results of our cohort with the results of other studies of the past
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fifteen years evaluating still incontinence after launcher is action to what's in school
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similar outcomes can be seen in terms of fickle incontinence in a long term follow well
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now regression analysis of our data rebuilds strong evidence about the association of quality of life
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and fickle continents post surgery g. discourse sold a statistically significant
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negative correlation with the works in school better this
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that fickle components of the surgery represents a factor that's
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strongly influences quality of life the patients after surgery
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moreover statistical analysis revealed that patients that underwent a hand signals the moses
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should most of incontinence as a group with a stable technique
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hey by it has to be mentioned that in terms of technical aspects pension colour analyst
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to moses is made overall at the more this the level than the state long
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and it's the most is with partially in this winter choose action that could displaying
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this difference no significant influence of other factors in puerto flight incontinence was found
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to sum up health related quality of life is now what is considered
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to be an important outcome after surgery for like that counts
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all those fink despairing seems to be superior to non restarted techniques that leave
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the patient with berman still no there's no clear evidence of the import
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a sort of important difference in quality of life between storm and noticed
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on operations in the literature because of the presence of launcher rejections
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i study suggests that site and colour analyst images of a satisfactory
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results in terms of fickle continents in cold if life with
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support we supported call analysed the most is should be offered as an option even for patients with low rectal cons
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we have also shown that the severity of fickle incontinence is strongly associated with quality of life
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