scholarly journals Influence of Conversion and Anastomotic Leakage on Survival in Rectal Cancer Surgery; Retrospective Cross-sectional Study

2018 ◽  
Vol 23 (10) ◽  
pp. 2007-2018 ◽  
Author(s):  
Edgar J. B. Furnée ◽  
◽  
Tjeerd S. Aukema ◽  
Steven J. Oosterling ◽  
Wernard A. A. Borstlap ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Cross Sectional Study ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Pull-Through in Patients after Pelvic Anastomosis Leak Following Proctectomy: A Cross-Sectional Study

2021 ◽  
Vol 41 (01) ◽  
pp. 042-046
Author(s):  
Hasan Davoodabadi ◽  
Mohammad Aldraji ◽  
Abdolhosein Davoodabadi Farahani ◽  
Parnian Soltani ◽  
Mehdi Alemrajabi
Keyword(s):  
Rectal Cancer ◽  
Cross Sectional Study ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intraoperative Complication ◽  
The Mean ◽  
Pull Through ◽  
Anastomosis Leak

Abstract Introduction Colorectal cancer is the second most common type of cancer and the third leading cause of mortality due to cancers. Anastomosis leak after proctectomy is a dangerous complication that must be managed carefully. The aim of the present study was to assess the procedure of resection and pull-through of the new rectum after anastomosis leak in patients after proctectomy. Methods and Materials This was a cross-sectional study. Patients who visited the Firoozgar Hospital between 2015 and 2018 for rectal cancer surgery and had anastomosis leak entered the study. All patients underwent resection of the residue of rectum and pull-through of colon. Results In the present study, out of the 110 cases who underwent proctectomy, 12 patients with postoperative anastomosis leak were reported. Five (41.7%) were male and 7 (58.3%) were female. The mean age of the patients was 41.5 ± 4.3 years (33–51). Resection of the new rectum and pull-through anastomosis were performed for these 12 patients. No major intraoperative complication occurred. Postoperative course was uneventful in all patients. Discussion Resection of residue of rectum and pull-through in patients with anastomosis leak can be done after rectal cancer surgery. This method is superior to abdominopelvic resection in many aspects, especially regarding accessibility to the new rectum by rectal exam or endosonography to assess recurrence or a relative continence after closure of ostomy.

scholarly journals The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yu Mu ◽  
Linxian Zhao ◽  
Hongyu He ◽  
Huimin Zhao ◽  
Jiannan Li
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Meta Analysis ◽  
Operation Time ◽  
Postoperative Hospital Stay ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Anastomotic Leakage Rate ◽  
Protective Ileostomy ◽  
Clinically Significant

Abstract Background Protective ileostomy is always applied to avoid clinically significant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This meta-analysis aims to analyze the efficacy of ileostomy on laparoscopic rectal cancer surgery. Methods Cochrane Library, EMBASE, Web of Science, and PubMed were applied for systematic search of all relevant literature, updated to May 07, 2021. Studies compared patients with and without ileostomy for laparoscopic rectal cancer surgery. We applied Review Manager software to perform this meta-analysis. The quality of the non-randomized controlled trials was assessed using the Newcastle-Ottawa scale (NOS), and the randomized studies were assessed using the Jadad scale. Results We collected a total of 1203 references, and seven studies were included using the research methods. The clinically significant anastomotic leakage rate was significantly lower in ileostomy group (27/567, 4.76%) than that in non-ileostomy group (54/525, 10.29%) (RR = 0.47, 95% CI 0.30–0.73, P for overall effect = 0.0009, P for heterogeneity = 0.18, I2 = 32%). However, the postoperative hospital stay, reoperation, wound infection, and operation time showed no significant difference between the ileostomy and non-ileostomy groups. Conclusion The results demonstrated that protective ileostomy could decrease the clinically significant anastomotic leakage rate for patients undergoing laparoscopic rectal cancer surgery. However, ileostomy has no effect on postoperative hospital stay, reoperation, wound infection, and operation time. The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis.

scholarly journals Leakage after Surgery for Rectum Cancer: Inconsistency in Reporting to the Danish Colorectal Cancer Group

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
L. Borly ◽  
M. B. Ellebæk ◽  
N. Qvist
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Leakage Rate ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Prognostic Impact ◽  
Cancer Specific Survival ◽  
Cancer Group ◽  
Core Questions

Purpose. Anastomotic leakage accounts for up to 1/3 of all fatalities after rectal cancer surgery. Evidence suggests that anastomotic leakage has a negative prognostic impact on local cancer recurrence and long-term cancer specific survival. The reported leakage rate in 2011 in Denmark varied from 7 to 45 percent. The objective was to clarify if the reporting of anastomotic leakage to the Danish Colorectal Cancer Group was rigorous and unequivocal.Methods. An Internet-based questionnaire was e-mailed to all Danish surgical departments, who reported to Danish Colorectal Cancer Group (DCCG) in 2011. There were 23 questions. Four core questions were whether pelvic collection, fecal appearance in a pelvic drain, rectovaginal fistula, and “watchfull” waiting patients were reported as anastomotic leakage.Results. Fourteen out of 17 departments, who in 2011 according to DDCG performed rectal cancer surgery, answered the questionnaire. This gave a response rate of 82%. In three of four core questions there was disagreement in what should be reported as anastomotic leakage.Conclusion. The reporting of anastomotic leakage to the Danish Colorectal Cancer Group was not rigorous and unequivocal. The reported anastomotic leakage rate in Danish Colorectal Cancer Group should be interpreted with caution.

Early transanal closure after vacuum‐assisted drainage for anastomotic leakage in rectal cancer surgery – a video vignette

2020 ◽  
Vol 22 (8) ◽  
pp. 973-974 ◽  
Author(s):  
K. Talboom ◽  
J. Kesteren ◽  
D. J. A. Sonneveld ◽  
P. J. Tanis ◽  
W. A. Bemelman ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Video Vignette

scholarly journals Assessment of quality of life in women five years after breast cancer surgery, members of Breast Cancer Self-Help Groups – non-randomized, cross-sectional study

2018 ◽  
Vol 22 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Magdalena Sowa ◽  
Iwona Głowacka-Mrotek ◽  
Ewelina Monastyrska ◽  
Tomasz Nowikiewicz ◽  
Magdalena Mackiewicz-Milewska ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cross Sectional Study ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Help ◽  
Self Help Groups
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