Low anterior resection combined with a covering stoma in the treatment of rectal cancer reduces the risk of permanent anastomotic failure

2015 ◽  
Vol 30 (10) ◽  
pp. 1323-1328 ◽  
Author(s):  
Minna Räsänen ◽  
Laura Renkonen-Sinisalo ◽  
Monika Carpelan-Holmström ◽  
Anna Lepistö
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anastomotic Failure ◽  
Covering Stoma

scholarly journals Determining the protective characteristics and risk factors for the development of anastomotic leakage after low anterior resection for rectal cancer

Surgery Today ◽  
2020 ◽  
Author(s):  
Nobuaki Suzuki ◽  
Shin Yoshida ◽  
Shinobu Tomochika ◽  
Yuki Nakagami ◽  
Yoshitaro Shindo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Protective Factor ◽  
Operation Time ◽  
Intraoperative Blood Loss ◽  
Pelvic Inlet ◽  
Covering Stoma

Abstract Purpose Anastomotic leakage is one of the most serious postoperative complications associated with surgery for rectal cancer. The present study aimed to identify the protective characteristics and risk factors associated with anastomotic leakage after low anterior resection for rectal cancer. Methods This was a retrospective, single-center study conducted between January 2009 and December 2017 at our institution. In total, 136 rectal cancer patients who underwent low anterior resection were included in the study. We analyzed preoperative and intraoperative factors. In addition, the pelvic dimensions were measured using computed tomography in all cases. Results Among the 136 patients, anastomotic leakage occurred in 21 (15.4%), including 18 males and 3 females. The median body mass index was 21.1 kg/m2. The construction of a covering stoma was found to be a protective factor. In addition, the operation time (≥ 373 min), intraoperative blood loss (≥ 105 ml), and size of the pelvic inlet (≥ 113 mm) were identified as risk factors for anastomotic leakage. Conclusion The construction of a covering stoma was a possible protective factor. However, a longer operation time, higher intraoperative blood loss, and larger pelvic inlet dimensions were possible risk factors for developing anastomotic leakage after low anterior resection in patients with rectal cancer.

scholarly journals Treatment of Rectal Cancer by Low Anterior Resection with Coloanal Anastomosis

1994 ◽  
Vol 219 (4) ◽  
pp. 365-373 ◽  
Author(s):  
Philip B. Paty ◽  
Warren E. Enker ◽  
Alfred M. Cohen ◽  
Gregory Y. Lauwers
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Coloanal Anastomosis

scholarly journals Laparoscopic low anterior resection for rectal cancer with rectal prolapse: a case report

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ryusei Yamamoto ◽  
Yasuji Mokuno ◽  
Hideo Matsubara ◽  
Hirokazu Kaneko ◽  
Shinsuke Iyomasa
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Rectal Prolapse ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection
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