J Korean Soc Coloproctol.  2007 Apr;23(2):101-109. 10.3393/jksc.2007.23.2.101.

Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection in Rectal Cancer: Does Laparoscopic Rectal Resection Increase Anastomotic Leakage Rate?

• Lee HS
• Kim MG
• Park CK
• Cho YJ
• Hwang DW
• Noh SI

• KMID: 1510046
• DOI: http://doi.org/10.3393/jksc.2007.23.2.101

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.

Keyword

Laparoscopic rectal resection; Anastomotic leakage

MeSH Terms

Anastomotic Leak*
Humans
Ileostomy
Prospective Studies
Radiotherapy
Rectal Neoplasms*
Risk Factors*
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