Risk factor analysis on rectovaginal fistula after resection in rectal cancer

VernacularTitle:直肠癌术后直肠阴道瘘的危险因素分析
Author: Jun FU ; Baoming YU ; Yue ZENG ; Weidong WU ; Min ZHANG ; Ying SHEN
Publication Type:Journal Article
Keywords: rectal cancer; rectovaginal fistula; risk factor
From: International Journal of Surgery 2009;36(9):589-591
CountryChina
Language:Chinese
Abstract: Objective To investigate the risk factors on rectovaginal fistula after resection in rectal canc-er and clinical strategy. Methods Our retrospective study included 1123 patients of recter cancer who un-derwent anterior resection with TME technique. Results 3.03% patients(34/1123) developed reetovaginal fistula. Rectovaginal fistulas were raleted with menopausal, location tumor in rectal wall and distance between tumor and anal verge, anastomotic technique, while not with age, T stage, preoperative radiotherapy, diversion stoma construction. Among 34 patients 12 were cured conservatively, fistula repair and colon stoma were performed for the other patients. Conclusions Menopausal, location tumor in rectal wall, distance between tumor and anal verge, anastomotic technique were risk factors for rectovaginal fistula after resection in rectal cancer. Correct choice of surgical procedures, suitable operative timing, enough preoperative preparation are important.