Diverting stoma in rectal cancer surgery. A retrospective study of 329 patients from Japanese cancer centers

2010 ◽  
Vol 26 (1) ◽  
pp. 79-87 ◽  
Author(s):  
Akio Shiomi ◽  
Masaaki Ito ◽  
Norio Saito ◽  
Masayuki Ohue ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Retrospective Study ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Cancer Centers ◽  
Diverting Stoma

Variation in the volume-outcome relationship after rectal cancer surgery in the United States: Retrospective study with implications for regionalization

Surgery ◽  
2021 ◽  
Author(s):  
Adan Z. Becerra ◽  
Christopher T. Aquina ◽  
Miles W. Grunvald ◽  
Joshua M. Underhill ◽  
Anuradha R. Bhama ◽  
...  
Keyword(s):  
United States ◽  
Rectal Cancer ◽  
Retrospective Study ◽  
The United States ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Outcome Relationship ◽  
Volume Outcome

Diverting Stoma Complications in Rectal Cancer Surgery.

2021 ◽  
Author(s):  
Masaya Kawai ◽  
Kazuhiro Sakamoto ◽  
Kumpei Honjo ◽  
Yu Okazawa ◽  
Rina Takahashi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Bowel Obstruction ◽  
Cancer Surgery ◽  
Perioperative Outcomes ◽  
Rectal Cancer Surgery ◽  
Intergroup Difference ◽  
Stoma Complications ◽  
Diverting Stoma ◽  
Grade 3

Abstract Background: A consensus regarding diverting stoma (DS) construction in rectal cancer surgery was reached to avoid reoperation related to anastomotic leakage. However, the incidence of stoma-related complications (SRCs) remains high. In this study, we aimed to examine the perioperative outcomes of DS construction in patients who underwent sphincter-preserving surgery for rectal cancer.Methods: Between 2005 and 2017, we included 400 participants who underwent radical sphincter-preserving surgery for rectal cancer. These participants were divided into two groups: DS (+) and DS (-) groups, and the outcomes, including postoperative complications (POCs), were compared.Results and conclusion: The incidence of ileus was higher in the DS (+) group (P<0.01); however, no patient showed anastomotic leakage of grade3. Furthermore, early SRCs were observed in 33 patients (21.6%) and bowel obstruction -related stoma outlet syndrome occurred in 19 patients (12.4%). There was no intergroup difference in the incidence of grade 3b POCs. However, the most common reason for reoperation was different in the two groups: anastomotic leakage in 91.7% of patients with 3b POCs in the DS (-) group, and SRCs in 85.7% of patients with 3b POCs in the DS (+) group.In patients with DS, there was an increase in the incidence of overall POCs, severe POCs (grade 3), and bowel obstruction, including stoma outlet syndrome, compared to patients without DS. Therefore, it is important to construct an appropriate DS to avoid SRCs and to be more selective in assigning patients for DS construction.

scholarly journals Tailored treatment of anastomotic leak after rectal cancer surgery according to the presence of a diverting stoma

2020 ◽  
Vol 99 (3) ◽  
pp. 171
Author(s):  
Chang Hyun Kim ◽  
Jaram Lee ◽  
Han Deok Kwak ◽  
Soo Young Lee ◽  
Jae Kyun Ju ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leak ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Tailored Treatment ◽  
Diverting Stoma

Impact of Specialisation in the Practice of Rectal Cancer Surgery at a District General Hospital

Endoscopy ◽  
2004 ◽  
Vol 36 (10) ◽  
Author(s):  
AL Gidwani ◽  
RS Date ◽  
D Hughes ◽  
P Neilly ◽  
R Gilliland
Keyword(s):  
Rectal Cancer ◽  
General Hospital ◽  
District General Hospital ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery
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