Analysis of Anastomotic Leakage after an Anterior Resection for Rectal Cancer
Journal of the Korean Society of Coloproctology
;
: 340-346, 2009.
Article
in Korean
| WPRIM
| ID: wpr-33316
ABSTRACT
PURPOSE:
The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection (high anterior resection+low anterior resection) for rectal cancer.METHODS:
Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was defined as leakage identified in outpatients.RESULTS:
AL (EAL+LAL) occurred in 30 patients (8.4%, mean time 15.4 days). Among of them, EAL occurred in 20 patients (5.6%, mean time 5.1 days), and LAL occurred in 10 patients (2.8%, mean time 36.0 days). In the univariate analysis, the size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL P<0.001, EAL P<0.001) and tumor level from the anal verge < or =8 cm (AL P=0.014, EAL P=0.001) were independent risk factors.CONCLUSION:
AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of the tumor from the anal verge.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Rectal Neoplasms
/
Serum Albumin
/
Multivariate Analysis
/
Risk Factors
/
Anastomotic Leak
/
Hospitalization
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Coloproctology
Year:
2009
Type:
Article
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