scholarly journals Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study). A nationwide retrospective study of the Italian Society of Surgical Oncology – Colorectal Cancer Network Collaborative Group

2021 ◽  
Author(s):  
Maurizio Degiuli ◽  
Ugo Elmore ◽  
Raffaele De Luca ◽  
Paola De Nardi ◽  
Mariano Tomatis ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Rectal Cancer ◽  
Retrospective Study ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Surgical Oncology ◽  
Italian Society ◽  
Collaborative Group ◽  
Cancer Network

Anastomotic leakage after anterior resection for rectal cancer: risk factors

2010 ◽  
Vol 12 (1) ◽  
pp. 37-43 ◽  
Author(s):  
C. A. Bertelsen ◽  
A. H. Andreasen ◽  
T. Jørgensen ◽  
H. Harling ◽  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Cancer Risk ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Cancer Risk Factors

scholarly journals Risk Factors for Anastomotic Leakage after a Low Anterior Resection for Rectal Cancer

2007 ◽  
Vol 23 (5) ◽  
pp. 365 ◽  
Author(s):  
Seok-jun Yoon ◽  
Jin-soo Kim ◽  
Byung-so Min ◽  
Nam-Kyu Kim ◽  
Seung-Hyuk Baik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection

scholarly journals Retrospective study of active drainage in the management of anastomotic leakage after anterior resection for rectal cancer

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110659
Author(s):  
Xiaojie Tan ◽  
Mei Zhang ◽  
Lai Li ◽  
He Wang ◽  
Xiaodong Liu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Retrospective Study ◽  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Spontaneous Resolution ◽  
Defunctioning Ileostomy ◽  
Diverting Stoma ◽  
Hospitalization Costs ◽  
Emergent Laparotomy ◽  
Drainage Group

Objective Anastomotic leakage (AL) is the most serious postoperative complication following anterior resection for rectal cancer. We aimed to investigate the efficacy of active drainage for the management of AL. Methods This was a retrospective study using information from a database of patients who underwent colorectal resection without a defunctioning ileostomy at our center between September 2013 and January 2021. We identified 122 cases with definitive AL who did not require revision emergent laparotomy. Among these patients, we evaluated those who received active drainage to replace the original passive drainage. Results There were 62 cases in the active drainage group and 60 cases in the passive drainage group. The active drainage group had a shorter mean AL spontaneous resolution time (26.9 ± 3.3 vs. 32.2 ± 4.8 days) and lower average hospitalization costs (82,680.6 vs. 92,299.3 renminbi (RMB)) compared with the passive drainage group, respectively. Moreover, seven patients in the passive drainage group subsequently underwent diverting stoma to resolve the Al, while all ALs resolved spontaneously after replacing the passive drainage with active drainage. Conclusions Our study suggests that active drainage may accelerate the spontaneous resolution of AL.

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