Risk factors for anastomotic leakage after anterior resection for rectal cancer.
- Author:
Chao FENG
1
;
Ruo-quan YAO
;
Fei-zhou HUANG
;
Wan-pin NIE
;
Xun-yang LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Anastomosis, Surgical; adverse effects; Anastomotic Leak; etiology; Female; Humans; Male; Middle Aged; Postoperative Complications; etiology; Rectal Neoplasms; surgery; Retrospective Studies; Risk Factors; Young Adult
- From: Journal of Southern Medical University 2011;31(5):908-910
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo identify the risk factors associated with anastomotic leakage following an anterior resection for rectal cancer.
METHODSBetween June, 1999 and June, 2009, 628 patients underwent anterior resection for rectal cancer. A retrospective study of the cases was performed to identify the risk factors for anastomotic leakage following the resection.
RESULTSThe overall incidence rate of anatomic leak was 8.6% (54/628) in these patients. A low albumin level (less than 35 g/L), diabetes, absence of a protective stoma, a distance less than 7 cm from the tumor to the anal edge, and a tumor diameter over 5 cm were identified as the risk factors for anastomotic leakage after anterior resection.
CONCLUSIONFor patients at a high risk for anastomotic leakage, a protective stoma can significantly decrease the rate of clinical leaks and subsequent reoperation after low anterior resection for rectal cancer.
