[Analysis of oncologic results and quality of life after radical treatment of rectum carcinoma in Specialized Oncological Hospital of Veliko Tarnovo].
BACKGROUND
Rectum carcinoma is an increasing problem with a great variety of possible operative decisions. In some cases, with very low anastomoses, the patients often choose permanent stoma instead of low postoperative function. Psychosocial adaptation of this large enough contingent is very hard and adequate treatment policy is an important goal for the clinicians. The aim of this study is to present and analyze the oncologic and initial quality of life data of operated with rectum carcinoma in Specialized Oncological Hospital of Veliko Tarnovo.


METHODS
Radically operated for the period of 01.2006-12.2008. 179 patients ware analyzed in groups according their sex, age, stage and type of operation. 79 had their quality of life examined with a licensed EORTC questionnaries: QLQ C30 and QLQ C38 in an early aspect (till 6-th month) and late (after a year).


RESULTS
The operative intervention types ware analyzed, according to anal verge distance: 63.4% sphincterspared. The best result during investigation of average indexes of functional and symptom's scales present the group with the upper anterior resection. Significance was found about the symptom pain anld male sexual dysfunction for the extirpated patients. The coloanal-anastomosis group suffered from temporary stoma-related problems and their sexuality disturbances tend to disappear over the time.


CONCLUSIONS
We have better onologic and functional result in early stages and at higher localization of rectum carcinoma disease. Using EORTC instruments is helpful for analysis of every functional parameter and symptom scale. Our data suggests tendency of better quality of life for high resected tumors and lack of advantage evidence comparing low resection over extirpation methods.
Masljankov
S
S
Jaramov
N
N
D002031:Bulgaria; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000601:surgery*; D011795:Surveys and Questionnaires