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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 7/2020

01-11-2020 | Colon Cancer | Original Article

A double-lumen irrigation-suction tube placed during operation could reduce the risk of grade C anastomotic leakage resulting from selective sigmoid colon cancer radical resection

Authors: Fan Yang, Dong Liu, Xin Xu, Weliang Tian, Zheng Yao, Chaoyang Wang, Risheng Zhao

Published in: Langenbeck's Archives of Surgery | Issue 7/2020

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Abstract

Aim

This study investigated the effect of a double-lumen irrigation-suction tube in reducing the incidence of grade C anastomotic leakage (AL) resulting from a selective sigmoid colon cancer radical resection.

Method

This multicenter retrospective cohort study reviewed data of patients receiving sigmoid colon cancer radical resection from January 2010 to November 2019. The enrolled patients were divided into the passive drainage tube group and the double-lumen irrigation-suction tube group, based on the use of a double-lumen irrigation-suction tube or a passive drainage tube during the surgery. The effect of double-lumen irrigation-suction tube on the incidence of grade C anastomotic leakage was evaluated.

Results

Of the 761 patients included in the study, 56 patients (7.36%) experienced AL. Of the 56 patients, 22 were diagnosed with grade C AL. The double-lumen irrigation-suction tube was a protective factor for forming a grade C AL compared with the passive drainage tube (OR = 0.194, 95% CI: 0.055–0.686, p = 0.011). Of the 34 patients with grade A or B AL, 26 patients had spontaneous closure—19 in the double-lumen irrigation-suction tube group and 7 in the passive drainage tube group. The double-lumen irrigation-suction tube (multivariable HR = 3.418, 95% CI: 1.43–11.203, p = 0.038) was associated with spontaneous closure of grade A or B AL.

Conclusion

Placing a double-lumen irrigation-suction tube may reduce the risk of grade C AL resulting from a selective sigmoid colon cancer radical resection. However, this study had substantial selection bias and the results should be reconfirmed by a randomized clinical trial.
Literature
1.
Marra F, Steffen T, Kalak N, Warschkow R, Tarantino I, Lange J, Zünd M (2009) ALas a risk factor for the long-term outcome after curative resection of colon cancer [J]. Eur J Surg Oncol 35(10):1064–1060
2.
Rutegard M, Hassmen N, Hemmingsson O et al (2015) Anterior resection for rectal cancer and visceral blood flow: an explorative study [J]. Scand J Surg 105(2):78CrossRef
3.
Bostr MP, Haapam Ki MM, Matthiessen P et al (2015) High arterial ligation and risk of AL in anterior resection for rectal cancer in patients with increased cardiovascular risk [J]. Color Dis 17(11):1018–1027CrossRef
4.
Mihara Y, Kochi M, Fujii M et al (2014) Resection of colorectal cancer with versus without preservation of inferior mesenteric artery [J]. Am J Clin Oncol:40(4)
5.
Matsuda K, Hotta T, Takifuji K, Yokoyama S, Oku Y, Watanabe T, Mitani Y, Ieda J, Mizumoto Y, Yamaue H (2015) Randomized clinical trial of defaecatory function after anterior resection for rectal cancer with high versus low ligation of the inferior mesenteric artery [J]. Br J Surg 102:501–508CrossRef
6.
Rahbari NN, Weitz J, Hohenberger W et al (2010) Definition and grading of anastomotic leakage after anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer. Surgery 147:339e351CrossRef
7.
Tytherleigh MG, Bokey L, Chapuis PH et al (2007) Is a minor clinical anastomotic leak clinically significant after resection of colorectal cancer? J Am Coll Surg 205:648e653CrossRef
8.
Alves A, Panis Y, Pocard M et al (1999) Management of anastomotic leakage after nondiverted large bowel resection. J Am Coll Surg 189:554e559CrossRef
9.
Krarup PM, Jorgensen LN, Harling H (2014) Management of anastomotic leakage in a nationwide cohort of colonic cancer patients [J]. J Am Coll Surg 218(5):940–949CrossRef
10.
Zheng Y, Tian W, Xu X et al (2018) An innovative method for placing a double-lumen irrigation-suction tube in the management of abdominal infection: a case report [J]. Medicine 97(9):e0048CrossRef
11.
Zheng Y, Tian W, Xu X et al (2020) The double-lumen irrigation-suction tube in the management of incisional surgical site infection after enterocutaneous fistula excisions: an observational study. J Investig Surg In Press
12.
Visschers RGJ, Damink SWMO, Winkens B, Soeters PB, van Gemert WG (2008) Treatment strategies in 135 consecutive patients with enterocutaneous fistulas [J]. World J Surg 32(3):445–453CrossRef
13.
Cong ZJ, Hu LH, Bian ZQ, Ye GY, Yu MH, Gao YH, Li ZS, Yu ED, Zhong M (2013) Systematic review of anastomotic leakage rate according to an international grading system following anterior resection for rectal cancer [J]. PLoS One 8:e75519CrossRef
14.
Noh GT, Ann YS, Cheong C, Han J, Cho MS, Hur H, Min BS, Lee KY, Kim NK (2016) Impact of anastomotic leakage on long-term oncologic outcome and its related factors in rectal cancer [J]. Medicine 95(30):e4367CrossRef
15.
Argenta LC, Morykwas MJ (1997 Jun) Vacuum-assisted closure: a new method for wound control and treatment: clinical experience [J]. Ann Plast Surg 38(6):563–576CrossRef
16.
Saxena V, Hwang CW, Huang S et al (2004) Vacuum-assisted closure: microdeformations of wounds and cell proliferation [J]. Plast Reconstr Surg 114(5):1086–1096CrossRef
17.
Torbrand C, Ugander M, Engblom H, Arheden H, Ingemansson R, Malmsjö M (2010) Wound contraction and macro-deformation during negative pressure therapy of sternotomy wounds [J]. J Cardiothorac Surg 5(1):75CrossRef
18.
Fitzpatrick ER (2017) Open abdomen in trauma and critical care [J]. Crit Care Nurse 37(5):22–45CrossRef
19.
Sirois-Giguère E, Boulanger-Gobeil C, Bouchard A, Gagné JP, Grégoire RC, Thibault C, Bouchard P (2013) Transanal drainage to treat anastomotic leaks after low anterior resection for rectal cancer : a valuable option [J]. Dis Colon Rectum 56(5):586–592CrossRef
20.
Weidenhagen R, Gruetzner KU, Wiecken T et al (2008) Endoscopic vacuum-assisted closure of AL following anterior resection of the rectum: a new method [J]. Surg Endosc 22(8):1818–1825CrossRef
Metadata
Title
A double-lumen irrigation-suction tube placed during operation could reduce the risk of grade C anastomotic leakage resulting from selective sigmoid colon cancer radical resection
Authors
Fan Yang
Dong Liu
Xin Xu
Weliang Tian
Zheng Yao
Chaoyang Wang
Risheng Zhao
Publication date
01-11-2020
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 7/2020
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-020-01959-z

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