Cancer of Rectum
Conditions
Keywords
Rectal cancer, Temporary stoma, Psychological disorders
Brief summary
In case of rectal cancer surgery, temporary stoma is recommended to decrease the risk of postoperative anastomotic leakage. The aim of the study was to assess the benefit of an optimal care, i.e., both psychological and enterostomal therapy care.
Detailed description
The aim of the study is to asses the benefit of an optimal and specific care concerning the temporary stoma in patients operated for rectal cancer surgery in term of psychological and enterostomal therapy effect. This study is a monocentric and randomized trial.
Interventions
Psychological & enterostomal therapy clinics on demand only
Psychological clinics at D-45, D0, D45, D60, D90 enterostomal therapy clinics at D-45, D0, D45, D60
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 y * Rectal adenocarcinoma (tumor height \< 15 cm from the anal verge) with or without pre operative radiochemotherapy. * Open or laparoscopic rectal excision with partial or total meso rectal excision with sphincter preservation by colo rectal or colo anal anastomosis. * Temporary stoma. * Patient consent * Patient with national health affiliation
Exclusion criteria
* Stage IV disease with synchronous hepatic or pulmonary metastases * Colonic cancer \> 16 cm * Associated surgical procedure (Hepatic resection, small bowel resection subtotal colectomy) * Abdominal perineal resection * Associated comorbidity * Emergency surgery * Psychological care refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of Global Quality of life (SF36) | at Day45, Day0, Day45, Day60, Day90 |
| Evolution of Psychological anxiety score (STAI/Beck) | at Day-45, Day0, Day45, Day60, Day90 |
Secondary
| Measure | Time frame |
|---|---|
| Evolution of Specific stoma score and stoma care learning | at Day-45, Day0, Day45, Day60, Day90 |
| Hospital stay | at Day90 |
| Overall morbidity | at Day45, Day60, Day90 |
| Specific stoma related morbidity | at Day45, Day60, Day90 |
Countries
France