AI Article Synopsis
- The study evaluated the use of a transanal drainage tube compared to defunctioning stomas (DS) in reducing complications after rectal cancer surgery, particularly anastomotic leakage (AL).
- In the study of 429 patients, the group with the drainage tube (Group A) had a significantly lower incidence of AL and Grade C complications compared to the group without (Group B).
- The use of the drainage tube not only reduced hospital costs by an estimated 4,000 Euros per patient but also avoided complications associated with stoma creation and reversal.
Article Abstract
Background: Anastomotic leakage (AL) remains the most dreaded complication after rectal cancer surgery. The aim of this study was to evaluate the role of transanal drainage tube in reducing the incidence, severity and hospital costs respect to defunctioning stoma (DS).
Methods: Considering 429 patients consecutively operated for rectal adenocarcinoma, the tube was placed in 275 (Group A) and not placed in 154 (Group B) patients. A DS was created in a subgroup of 54 patients among the latter.
Results: The incidence of AL was significantly higher in Group B (P=0.007). In patients with DS, the incidence was higher than Group A (P=NS). Grade C complications were significantly higher in Group B (P=0.006) and Grade B complications were significantly higher in patients with DS (P=0.03). Estimated economic benefit was 4,000 Euros for each patient.
Conclusions: Transanal drainage tube may be a safe and effective alternative to DS in many cases. The incidence of leakage and Grade C complications are reduced albeit not significantly but Grade B complications are significantly lower. Although the AL incidence was similar in our experience, the tube allows to avoid a stoma-related consequence and the need for reversal procedure with economic benefit.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061182 | PMC |
| http://dx.doi.org/10.21037/tgh.2019.10.16 | DOI Listing |
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