Clinical analysis of benign anastomotic stenosis after colorectal cancer surgery
10.3969/j.issn.1673-9701.2024.09.015
- VernacularTitle:结直肠癌术后吻合口良性狭窄的临床分析
- Author:
Wei ZHENG
1
;
Shurong HUANG
1
;
Yong'an FU
1
;
Hongyue LIN
1
;
Jinping CHEN
1
Author Information
1. Gastrointestinal Surgery Zone 1, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, Fujian, China
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Anastomotic stenosis;
Risk factors
- From:
China Modern Doctor
2024;62(9):62-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors and management of benign anastomotic stenosis in patients with colorectal cancer after concurrent prophylactic ileostomy.Methods The clinical data of 74 colorectal cancer patients undergoing preventive ileostomy admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from April 2018 to June 2022 were selected,according to the presence or absence of anastomotic stenosis after surgery,patients were divided into anastomotic stenosis group and anastomotic normal group.The influencing factors of stenosis were analyzed using statistical methods,and the management methods for anastomotic stenosis were summarized.Results 15 cases of anastomotic stenosis occurred after surgery,with an incidence rate of 20.3%.Compared with anastomotic normal group,patients in anastomotic stenosis group had a higher proportion of preoperative radiation therapy,preoperative neoadjuvant chemotherapy,and a higher incidence of postoperative anastomotic leakage/pelvic infection,with statistical significance(P<0.05);Multivariate analysis suggests that preoperative radiotherapy,anastomotic leakage/pelvic infection are independent risk factors for anastomotic stenosis.Conclusion Patients with colorectal cancer who undergo preoperative radiotherapy,neoadjuvant chemotherapy,and postoperative anastomotic leakage/pelvic infection should pay attention to the occurrence of anastomotic stenosis after undergoing ileostomy;Postoperative anastomotic stenosis should be treated according to the characteristics of the stenosis.
