Abstract
In recent times there have been many important changes in the surgical management of rectal cancer. The general thrust of these changes has been towards a less invasive approach with preservation of intestinal continuity and avoidance of the psychological sequelae of a stoma. It is also becomming increasingly apparent that profound sexual and autonomic dysfunction can be associated with abdominoperineal resection. This paper highlights these issues and the conflict between performing an adequate oncological proceedure and reducing the incidence of postoperative psychological morbidity. It outlines the great changes there have been in surgical technique and their relevance to psychological problems after surgery for rectal cancer. The need for auditing psychological morbidity when assessing the outcome of surgical series is emphasised, as is the importance of involving the patient in the medical decision making.
| Original language | English |
|---|---|
| Pages (from-to) | 17-21 |
| Number of pages | 5 |
| Journal | Supportive Care in Cancer |
| Volume | 5 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 1997 |
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Keywords
- Colostomy
- Decision making
- Psycho- oncology
- Quality of life
- Rectal cancer
- Surgery
- Treatment planning
ASJC Scopus subject areas
- Oncology
- Nursing(all)
Cite this
Personalised surgery for rectal tumours : The patient's opinion counts. / Audisio, Riccardo A.; Filiberti, Antonio; Geraghty, James G.; Andreoni, Bruno.
In: Supportive Care in Cancer, Vol. 5, No. 1, 01.1997, p. 17-21.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Personalised surgery for rectal tumours
T2 - The patient's opinion counts
AU - Audisio, Riccardo A.
AU - Filiberti, Antonio
AU - Geraghty, James G.
AU - Andreoni, Bruno
PY - 1997/1
Y1 - 1997/1
N2 - In recent times there have been many important changes in the surgical management of rectal cancer. The general thrust of these changes has been towards a less invasive approach with preservation of intestinal continuity and avoidance of the psychological sequelae of a stoma. It is also becomming increasingly apparent that profound sexual and autonomic dysfunction can be associated with abdominoperineal resection. This paper highlights these issues and the conflict between performing an adequate oncological proceedure and reducing the incidence of postoperative psychological morbidity. It outlines the great changes there have been in surgical technique and their relevance to psychological problems after surgery for rectal cancer. The need for auditing psychological morbidity when assessing the outcome of surgical series is emphasised, as is the importance of involving the patient in the medical decision making.
AB - In recent times there have been many important changes in the surgical management of rectal cancer. The general thrust of these changes has been towards a less invasive approach with preservation of intestinal continuity and avoidance of the psychological sequelae of a stoma. It is also becomming increasingly apparent that profound sexual and autonomic dysfunction can be associated with abdominoperineal resection. This paper highlights these issues and the conflict between performing an adequate oncological proceedure and reducing the incidence of postoperative psychological morbidity. It outlines the great changes there have been in surgical technique and their relevance to psychological problems after surgery for rectal cancer. The need for auditing psychological morbidity when assessing the outcome of surgical series is emphasised, as is the importance of involving the patient in the medical decision making.
KW - Colostomy
KW - Decision making
KW - Psycho- oncology
KW - Quality of life
KW - Rectal cancer
KW - Surgery
KW - Treatment planning
UR - http://www.scopus.com/inward/record.url?scp=0030614839&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030614839&partnerID=8YFLogxK
U2 - 10.1007/s005200050035
DO - 10.1007/s005200050035
M3 - Article
C2 - 9010985
VL - 5
SP - 17
EP - 21
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
IS - 1
ER -