Comparison of transanal stent with defunctioning stoma in low anterior resection for rectal cancer

2003 ◽  
Vol 90 (5) ◽  
pp. 581-582 ◽  
Author(s):  
A. I. Amin ◽  
T. Ramalingam ◽  
R. Sexton ◽  
R. J. Heald ◽  
A. Leppington-Clarke ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Defunctioning Stoma

Defunctioning Stoma in Low Anterior Resection With Colonic Pouch for Rectal Cancer

2002 ◽  
Vol 45 (7) ◽  
pp. 940-945 ◽  
Author(s):  
Mikael Machado ◽  
Olof Hallböök ◽  
Sven Goldman ◽  
Per-Olof Nyström ◽  
Johannes Järhult ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colonic Pouch ◽  
Defunctioning Stoma

scholarly journals Defunctioning stoma and short- and long-term outcomes after low anterior resection for rectal cancer—a nationwide register–based cohort study

2021 ◽  
Author(s):  
Soran Gadan ◽  
Judith S. Brand ◽  
Martin Rutegård ◽  
Peter Matthiessen
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Long Term Outcomes ◽  
Defunctioning Stoma ◽  
Oncological Outcomes ◽  
All Cause Mortality ◽  
Short And Long Term

Abstract Purpose A defunctioning stoma reduces the risk of symptomatic anastomotic leakage after low anterior resection for rectal cancer and mitigates the consequences when a leakage occurs, but the impact on mortality and oncological outcomes is unclear. The aim was to investigate the associations of a defunctioning stoma with short- and long-term outcomes in patients undergoing low anterior resection for rectal cancer. Methods Data from all patients who underwent curative low anterior resection for rectal cancer between 1995 and 2010 were obtained from the Swedish Colorectal Cancer Register. A total of 4130 patients, including 2563 with and 1567 without a defunctioning stoma, were studied. Flexible parametric models were used to estimate hazard ratios for all-cause mortality, 5-year local recurrence, and distant metastatic disease in relation to the use of defunctioning stoma, adjusting for confounding factors and accounting for potential time-dependent effects. Results During a median follow-up of 8.3 years, a total of 2169 patients died. In multivariable analysis, a relative reduction in mortality was observed up to 6 months after surgery (hazard ratio = 0.82: 95% CI 0.67–0.99), but not thereafter. After 5 years of follow-up, 4.2% (173/4130) of the patients had a local recurrence registered and 17.9% (741/4130) had developed distant metastatic disease, without difference between patients with and without defunctioning stoma. Conclusion A defunctioning stoma is associated with a short-term reduction in all-cause mortality in patients undergoing low anterior resection for rectal cancer without any difference in long-term mortality and oncological outcomes, and should be considered as standard of care.

Evaluation of selective defunctioning stoma after low anterior resection for rectal cancer

2007 ◽  
Vol 23 (3) ◽  
pp. 283-288 ◽  
Author(s):  
B. Lefebure ◽  
J. J. Tuech ◽  
V. Bridoux ◽  
B. Costaglioli ◽  
M. Scotte ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Defunctioning Stoma
Sign in / Sign up

Export Citation Format

Share Document