Risk factors analysis on anastomotic leakage after total mesorectal excision for rectal carcinoma
- VernacularTitle:直肠癌全直肠系膜切除术后吻合口漏的危险因素分析
- Author:
Yongjun LI
;
Ming LI
;
Jin GU
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Mesentery;
Anastomotic leakage
- From:
Chinese Journal of General Surgery
2008;23(4):248-250
- CountryChina
- Language:Chinese
-
Abstract:
Objeetive To analyze the risk factors on anastomotic leakage after low anterior resection with the technique of total mesorectal excision(TME)for rectal carcinoma. Methods Our retrospective study included 498 patients of rectal cancer who underwent anterior resection with TME technique. Results 7.2%patients(36/498)developed clinical anastomotic leakage.Sex,distance of tumor from anal verge,preoperative radiotherapy were found related to the anastomotic leakage ( P＜0.05 or0.01),while age,diabetes,hypertensive disease,vesse]emboli,diversion stoma construction,anastomotic technique were not.Among the 37 patients with diversion stoma construction simultaneously,3 patients developed leakage who recovered conservatively.Among the other 33 leakages 10 were cured conservatively.The other 23 leakages necessitated a laparotomy and proximal colostomy. Conclusion Sex,distance of tumor from anal verge,preoperative radiotherapy were risk factors for anastomotic leakage after TME.
