Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection in Rectal Cancer: Does Laparoscopic Rectal Resection Increase Anastomotic Leakage Rate?.
10.3393/jksc.2007.23.2.101
- Author:
Ho Suk LEE
1
;
Min Ghwon KIM
;
Chang Kyun PARK
;
Yoo Jin CHO
;
Duk Won HWANG
;
Sang Ik NOH
Author Information
1. Department of Surgery, Seoul Veterans Hospital, Seoul, Korea. hosuk6001@hanmail.net
- Publication Type:Original Article
- Keywords:
Laparoscopic rectal resection;
Anastomotic leakage
- MeSH:
Anastomotic Leak*;
Humans;
Ileostomy;
Prospective Studies;
Radiotherapy;
Rectal Neoplasms*;
Risk Factors*;
Seoul
- From:Journal of the Korean Society of Coloproctology
2007;23(2):101-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the risk factors for clinical anastomotic leakage after laparoscopic resection for rectal cancer. METHODS: From March 2001 and February 2006 in Seoul Veterans' Hospital, the prospective laparoscopic colorectal resection database identified 101 patients who a had laparoscopic rectal resection with colorectal or coloanal anastomosis. The associations between clinical anastomotic leakage and patient-, tumor-, surgery- and laparoscopic-related variables were studied. RESULTS: The rate of clinical anastomotic leakage was 4 percent (4 of 101). The patient-related variable significantly associated with clinical anastomotic leakage was preoperative radiotherapy. The surgery-related factor that turned out to be significant was anastomosis situated less than 5 cm from the anal verge. No tumor- or laparoscopic-related variables were significantly associated with clinical anastomotic leakage. CONSLUSIONS: A protective ileostomy should be considered after a laparoscopic rectal resection for an rectal cancer for anastomosis situated less than 5 cm from the anal verge, particularly when preoperative radiotherapy is being used.
