Please use this identifier to cite or link to this item:
|Title:||Standardized pelvic drainage of anastomotic leaks following anterior resection without diversional stomas|
Low anterior resection
|Citation:||Peng, J., Xu, Y., Guan, Z., Wang, M., Cai, G., Cai, S., Lu, J. (2010). Standardized pelvic drainage of anastomotic leaks following anterior resection without diversional stomas. American Journal of Surgery 199 (6) : 753-758. ScholarBank@NUS Repository. https://doi.org/10.1016/j.amjsurg.2009.03.026|
|Abstract:||Background: Anastomotic leakage is a serious complication in rectal cancer surgery. More than one third of rectal cancer patients with low anterior resection (LAR) will receive defunctional stomas during primary operation. Methods: Six hundred thirty-nine consecutive rectal cancer patients, whose tumors were located 5 to 12 cm from the anal verge, were treated with LAR. A standardized pelvic drainage for all these patients and selective irrigation for patients with leakage were conducted, and defunctional stoma was used as a salvage modality. All the anastomoses were all extraperitonealized during primary operations. Results: The anastomotic leakage rate was 7.04%. Male gender and location of tumor were found to be risk factors for leakage in patients with LAR. The overall stoma rate was 1.88%. Nearly 75% of leakage could be cured by irrigation-suction without surgical intervention. Severe complications, such as peritonitis, fistula, and obstruction, were strong predictors of irrigation failure. Conclusions: Extraperitonealized anastomosis and pelvic drainage obtained a very low rate of defunctional stoma for LAR. Pelvic irrigation-suction was an effective modality to resolve anastomotic leakage. © 2010 Elsevier Inc. All rights reserved.|
|Source Title:||American Journal of Surgery|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on Jan 17, 2019
WEB OF SCIENCETM
checked on Jan 1, 2019
checked on Dec 30, 2018
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.