Personalised surgery for rectal tumours: The patient's opinion counts

Riccardo A. Audisio, Antonio Filiberti, James G. Geraghty, Bruno Andreoni

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)17-21
Number of pages5
JournalSupportive Care in Cancer
Issue number1
Publication statusPublished - Jan 1997


  • Colostomy
  • Decision making
  • Psycho- oncology
  • Quality of life
  • Rectal cancer
  • Surgery
  • Treatment planning

ASJC Scopus subject areas

  • Oncology
  • Nursing(all)


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