Outcomes of Sphincter-Saving Operation for Rectal Cancer without Protective Stoma and Pelvic Drain, and Risk Factors for Anastomotic Leakage

2008 ◽  
Vol 25 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Varut Lohsiriwat ◽  
Darin Lohsiriwat ◽  
Wiroon Boonnuch ◽  
Vitoon Chinswangwatanakul ◽  
Thawatchai Akaraviputh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Sphincter Saving ◽  
Protective Stoma

Risk factors for anastomotic leakage after resection for rectal cancer

2008 ◽  
Vol 196 (4) ◽  
pp. 592-598 ◽  
Author(s):  
Thomas Eberl ◽  
Michael Jagoditsch ◽  
Anton Klingler ◽  
Jörg Tschmelitsch
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage

Multicenter Analysis of Risk Factors for Anastomotic Leakage After Laparoscopic Rectal Cancer Excision

2013 ◽  
Vol 257 (4) ◽  
pp. 665-671 ◽  
Author(s):  
Jun Seok Park ◽  
Gyu-Seog Choi ◽  
Seon Hahn Kim ◽  
Hyeong Rok Kim ◽  
Nam Kyu Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Multicenter Analysis

Risk factors for clinical anastomotic leakage and postoperative mortality in elective surgery for rectal cancer

2007 ◽  
Vol 22 (8) ◽  
pp. 919-927 ◽  
Author(s):  
Martin Kruschewski ◽  
Hayo Rieger ◽  
Uwe Pohlen ◽  
Hubert G. Hotz ◽  
Heinz J. Buhr
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Elective Surgery ◽  
Postoperative Mortality

scholarly journals Defunctioning Protective Stoma Can Reduce the Rate of Anastomotic Leakage After Low Anterior Resection in Rectal Cancer Patients

2020 ◽  
Vol 36 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Byoung Chul Lee ◽  
Seok-Byung Lim ◽  
Jong Lyul Lee ◽  
Chan Wook Kim ◽  
Yong Sik Yoon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Clinicopathological Parameters ◽  
Emergency Laparotomy ◽  
Stoma Formation ◽  
Diverting Stoma ◽  
The Impact ◽  
Protective Stoma

Purpose: This study aimed to identify risk factors for anastomotic leakage and to evaluate the impact of protective stoma on the rate of anastomotic leakage and subsequent management.Methods: This retrospective study analyzed data from 4,282 patients who underwent low anterior resection between 2007 and 2014. Among these, 1,367 (31.9%) underwent surgery to create protective diverting stoma and 232 (5.4%) experienced anastomotic leakage. At 6-month timepoints, data were evaluated to identify any correlation between the presence of diverting stoma and the incidence of anastomotic leakage. In addition, clinicopathological parameters were investigated to identify risk factors for anastomotic leakage.Results: Diverting stomas significantly reduced the rate of anastomotic leakage (hazard ratio, 0.334; 95% confidence interval, 0.212–0.525; P<0.001], which was reciprocally correlated with the rate of diverting stoma formation (P=0.039). Patients with a diverting stoma had a significantly lower incidence of generalized peritonitis (P<0.001) and therefore significantly reduced need for laparotomy (82.7% vs. 39.1%, P<0.001).Conclusion: The selective use of diverting stoma in high-risk patients decreases the rate of anastomotic leakage. Diverting stoma also affects the type of leakage and reduces the need for emergency laparotomy by approximately 40%.

Sign in / Sign up

Export Citation Format

Share Document