Pseudo Continent Perineal Colostomy vs Permanent Left Iliac Colostomy After Abdominoperineal Resection for Ultra Low Rectal Adenocarcinoma

Moroccan Society of Surgery

Status

Completed

Conditions

Quality of Life

Colostomy Stoma

Rectal Neoplasms

Treatments

Procedure: Perineal pseudocontinent colostomy

Procedure: Permanent left iliac colostomy

Study type

Observational

Funder types

Other

Identifiers

NCT04141566

PCPC_PLIC

Details and patient eligibility

About

Aim of this study is to compare the cost-effectiveness and the quality of life in the 6 months following the surgery of a pseudo continent perineal colostomy (PCPC) and a permanent left iliac colostomy (PLIC) following an abdominoperineal resection (APR) for ultra low rectal cancer

Full description

The surgical treatment of ultra low rectal adenocarcinoma has known great changes, yet the abdominoperineal resection (APR) is still indicated in over 20% of these cases.

A permanent left abdominal stoma is the standard salvage technique.

The pseudo continent perineal colostomy (PCPC) is an alternative technique especially in low income countries where the stoma bag and stoma care is not covered by health insurances.

Furthermore, this technique allows the conservation of body image, which is frequently requested by muslim patients whenever it is possible.

The aim of this study is to compare the cost effectiveness of both techniques as well as the quality of life of patients in the 6 first months following the surgery.

Enrollment

35 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients of 18 years old or above
Abdominoperineal resection for ultra low rectal cancer
Creation of a definitive iliac colostomy or a pseudo continent perineal colostomy
Patients willing to participate to this study (writting consent)

Exclusion criteria

-Patients unable to respond to the Quality Of Life questionnaires