Evaluation of Functional Outcome of Rectal Cancer Management in Two Specialized Centers in the Last Three Years

Background: Rectal cancer surgery had achieved remarkable evolution over the past years. Thanks to the adoption of total mesorectal excision and neoadjuvant chemoradiation, local recurrence rates dropped significantly down to 5%. Objective: This study was aimed to evaluate the functional and oncological outcome of rectal cancer management in specialized two centers. Patients and methods: This retrospective study included a total of 30 patients operated for rectal cancer, attending at Zagazig University Hospitals and Meet Ghamer Oncology Center. This study was conducted between 2017 to 2019. Results: This study included 30 cases, 16 were males and 14 were females, operative time ranged from 120-140 minutes with mean 130 minutes. Blood loss ranged between 250-600 cc. Only one case was converted to open surgery. No intraoperative complications like ureteric or bowel injuries were recorded. Postoperative complications were noted in 7 patients, of them 4 patients developed perineal wound infection and they improved with conservative management, one case developed chest infection who was improved with medical treatment, 1 patient developed stoma and sunken refashioning was successfully done, and 1 patient complained of postoperative urinary incontinence and impotence. Conclusion: It could be concluded that laparoscopic surgery improves oncologic and functional outcome better than open because of good visualization of pelvic anatomy.