Analysis of Anastomotic Leakage after an Anterior Resection for Rectal Cancer
Journal of the Korean Society of Coloproctology
;
: 340-346, 2009.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Neoplasias Retais
/
Albumina Sérica
/
Análise Multivariada
/
Fatores de Risco
/
Fístula Anastomótica
/
Hospitalização
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2009
Tipo de documento:
Artigo
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