Is Rectal Washout Necessary in Anterior Resection for Rectal Cancer? A Prospective Clinical Study

2006 ◽  
Vol 30 (2) ◽  
pp. 233-241 ◽  
Author(s):  
Cem Terzi ◽  
Tarkan Ünek ◽  
Özgül Sağol ◽  
Tuğbahan Yılmaz ◽  
Mehmet Füzün ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Clinical Study ◽  
Anterior Resection ◽  
Prospective Clinical Study ◽  
Rectal Washout

scholarly journals The effect of rectal washout on local recurrence following rectal cancer surgery

2018 ◽  
Vol 100 (2) ◽  
pp. 146-151 ◽  
Author(s):  
SR Moosvi ◽  
K Manley ◽  
J Hernon
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Anterior Resection ◽  
High Volume ◽  
Conclusive Evidence ◽  
Rectal Cancer Surgery ◽  
Single Institution ◽  
Recurrence Rates ◽  
Rectal Washout ◽  
Significant Difference

Introduction Local recurrence after surgery for rectal cancer is associated with significant morbidity and debilitating symptoms. Intraoperative rectal washout has been linked to a reduction in local recurrence but there is no conclusive evidence. The aim of this study was to evaluate whether performing rectal washout had any effect on the incidence of local recurrence in patients undergoing anterior resection for rectal cancer in the context of the current surgical management. Methods A total of 395 consecutive patients who underwent anterior resection with or without rectal washout for rectal cancer between January 2003 and July 2009 at a high volume single institution were analysed retrospectively. A standardised process for performing washout was used and all patients had standardised surgery in the form of total mesorectal excision. Neoadjuvant and adjuvant therapy was used on a selected basis. Patients were followed up for five years and local recurrence rates were compared in the two groups. Results Of the 395 patients, 297 had rectal washout and 98 did not. Both groups were well matched with regard to various important clinical, operative and histopathological characteristics. Overall, the local recurrence rate was 5.3%. There was no significant difference in the incidence of local recurrence between the washout group (5.7%) and the no washout group (4.1%). Conclusions Among our cohort of patients, there was no statistical difference in the incidence of local recurrence after anterior resection with or without rectal washout. This suggests that other factors are more significant in the development of local recurrence.

scholarly journals Analysis of outcomes of intra-operative rectal washout in patients with rectal cancer during anterior resection

2013 ◽  
Vol 30 (1) ◽  
Author(s):  
Zhang Xingmao ◽  
Bi Jianjun ◽  
Wang Zheng ◽  
Liang Jianwei ◽  
Hu Junjie ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectal Washout

Long-term functional results from a randomized clinical study of transverse coloplasty compared with colon J-pouch after low anterior resection for rectal cancer

Surgery ◽  
2013 ◽  
Vol 153 (3) ◽  
pp. 383-392 ◽  
Author(s):  
Sebastiano Biondo ◽  
Ricardo Frago ◽  
Antonio Codina Cazador ◽  
Ramon Farres ◽  
Francisco Olivet ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Clinical Study ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Functional Results ◽  
Randomized Clinical Study ◽  
J Pouch ◽  
Transverse Coloplasty

Is Rectal Washout Effective for Preventing Localized Recurrence After Anterior Resection for Rectal Cancer?

2008 ◽  
Vol 51 (9) ◽  
pp. 1339-1344 ◽  
Author(s):  
Vasilis A. Constantinides ◽  
Dorstan Cheetham ◽  
R. John Nicholls ◽  
Paris P. Tekkis
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectal Washout

scholarly journals Rectal washout does not increase the complication risk after anterior resection for rectal cancer

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Karl Teurneau-Hermansson ◽  
Rebecca Svensson Neufert ◽  
Pamela Buchwald ◽  
Fredrik Jörgren
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Surgical Complications ◽  
Multivariable Analysis ◽  
Recurrence Risk ◽  
Mesorectal Excision ◽  
Rectal Washout ◽  
Complication Risk ◽  
Safe Technique

Abstract Background To reduce local recurrence risk, rectal washout (RW) is integrated in the total mesorectal excision (TME) technique when performing anterior resection (AR) for rectal cancer. Although RW is considered a safe practice, data on the complication risk are scarce. Our aim was to examine the association between RW and 30-day postoperative complications after AR for rectal cancer. Methods Patients from the Swedish Colorectal Cancer Registry who underwent AR between 2007 and 2013 were analysed using multivariable methods. Results A total of 4821 patients were included (4317 RW, 504 no RW). The RW group had lower rates of overall complications (1578/4317 (37%) vs. 208/504 (41%), p = 0.039), surgical complications (879/4317 (20%) vs. 140/504 (28%), p < 0.001) and 30-day mortality (50/4317 (1.2%) vs. 12/504 (2.4%), p = 0.020). In multivariable analysis, RW was a risk factor neither for overall complications (OR 0.73, 95% CI 0.60–0.90, p = 0.002) nor for surgical complications (OR 0.62, 95% CI 0.50–0.78, p < 0.001). Conclusions RW is a safe technique that does not increase the 30-day postoperative complication risk after AR with TME technique for rectal cancer.

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