AI Article Synopsis
- The study investigates the effectiveness of a transanal drainage tube (TDT) in preventing anastomotic leakage (AL) after colorectal cancer surgery using the double-stapling technique (DST).
- Among 179 patients, those with TDT placement showed lower rates of AL (2.6%) compared to those without (13.9%), indicating a significant benefit.
- Findings suggest that using TDT can significantly reduce the risk of AL, emphasizing its potential as a preventive measure in surgical procedures for colorectal cancer.
Article Abstract
Purpose: Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling technique reconstruction (DST).
Methods: The subjects of this study were 179 patients who underwent curative resection and DST reconstruction for sigmoid colon and rectal cancer in our institution between 2008 and 2013. We analyzed the effectiveness of the TDT for preventing AL.
Results: A TDT was placed in 78 patients (43.6 %, TDT group) and not placed in the remaining 101 patients (56.4 %, NTDT group). AL developed in 2 (2.6 %) patients from the TDT group and in 14 (13.9 %) patients from the NTDT group (p = 0.009). Univariate analysis revealed that AL was significantly correlated with tumor distance from the anal verge (AV), the number of staples, and TDT placement. Multivariate analysis revealed a significantly positive correlation between AL and AV [OR 0.877 (0.783-0.982) p = 0.023] and a significantly negative correlation between AL and TDT placement [OR 0.07 (0.013-0.374) p = 0.002].
Conclusions: Anastomotic decompression with TDT placement may prevent AL after colorectal cancer surgery with DST reconstruction.
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| http://dx.doi.org/10.1007/s00595-015-1230-3 | DOI Listing |
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