title: Perineal pseudocontinent colostomy is safe and efficient technique for perineal reconstruction after abdominoperineal resection for rectal adenocarcinoma.
abstract: BACKGROUND
  The aim of this study was to evaluate oncologic results and satisfaction rate results of pseudocontinent perineal colostomy (PCPC) using Schmidt's technique in patients undergoing abdominoperineal resection (APR) for managing low rectal adenocarcinoma.
  
  
  METHODS
  From January 1993 and December 2007, One hundred and forty six patients underwent successfully PCPC after abdominoperineal resection for lower rectal adenocarcinoma. There were 75 women, with an average age of 47 years old. All patients received neoadjuvant radiotherapy with or without chemotherapy. Long-term oncological results and satisfaction rate were evaluated.
  
  
  RESULTS
  After a median follow up of 36 months (range 12-156) months, the five-year overall survival and disease free survival rate were 74.6% and 60.3% respectively. Local and distant recurrences occurred respectively in 10 (6,8%) and 29 (20%) patients. Seventy-seven percent (77%) of the patients were highly satisfied with this technique and only one patient was unsatisfied. However, none of them accepted the conversion to an abdominal colostomy neither would have changed PCPC for an iliac colostomy at first intent.
  
  
  CONCLUSIONS
  This study showed that pseudocontinent perineal colostomy is a safe and reliable pelvic reconstruction technique after abdominoperineal resection for low rectal adenocarcinoma. It provides high degree of patient satisfaction without compromising oncological results. It is a good option in selected patients, especially in Muslim countries.
authors.affiliation: Surgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco. souadka@gmail.com.
authors.forename: Amine
authors.initials: A
authors.lastname: Souadka
authors.affiliation: Department of General Surgery, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
authors.forename: Mohammed Anass
authors.initials: MA
authors.lastname: Majbar
authors.affiliation: Surgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
authors.forename: Tijani
authors.initials: T
authors.lastname: El Harroudi
authors.affiliation: Surgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
authors.forename: Amine
authors.initials: A
authors.lastname: Benkabbou
authors.affiliation: Surgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.|Surgical Department, Al Azhar Oncological Center, Rabat, Morocco.
authors.forename: Abdelilah
authors.initials: A
authors.lastname: Souadka
mesh_terms: D000005:Abdomen / Q000601:surgery; D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D003125:Colostomy / Q000379:methods*; D003131:Combined Modality Therapy; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco; D017060:Patient Satisfaction; D010502:Perineum / Q000473:pathology / Q000601:surgery*; D012004:Rectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult