Quality of Life Clinical Trial
Official title:
Pseudo Continent Perineal Colostomy vs Permanent Left Iliac Colostomy After Abdominoperineal Resection for Ultra Low Rectal Adenocarcinoma: Comparaison of Out of Pocket Costs, Hospital Bills and Quality of Life
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
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.
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