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Surgery Today
Published in: Surgery Today 5/2021

Open Access 01-05-2021 | Rectal Cancer | Original Article

Determining the protective characteristics and risk factors for the development of anastomotic leakage after low anterior resection for rectal cancer

Authors: Nobuaki Suzuki, Shin Yoshida, Shinobu Tomochika, Yuki Nakagami, Yoshitaro Shindo, Yukio Tokumitsu, Michihisa Iida, Shigeru Takeda, Shoichi Hazama, Tomio Ueno, Hiroaki Nagano

Published in: Surgery Today | Issue 5/2021

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Abstract

Purpose

Anastomotic leakage is one of the most serious postoperative complications associated with surgery for rectal cancer. The present study aimed to identify the protective characteristics and risk factors associated with anastomotic leakage after low anterior resection for rectal cancer.

Methods

This was a retrospective, single-center study conducted between January 2009 and December 2017 at our institution. In total, 136 rectal cancer patients who underwent low anterior resection were included in the study. We analyzed preoperative and intraoperative factors. In addition, the pelvic dimensions were measured using computed tomography in all cases.

Results

Among the 136 patients, anastomotic leakage occurred in 21 (15.4%), including 18 males and 3 females. The median body mass index was 21.1 kg/m2. The construction of a covering stoma was found to be a protective factor. In addition, the operation time (≥ 373 min), intraoperative blood loss (≥ 105 ml), and size of the pelvic inlet (≥ 113 mm) were identified as risk factors for anastomotic leakage.

Conclusion

The construction of a covering stoma was a possible protective factor. However, a longer operation time, higher intraoperative blood loss, and larger pelvic inlet dimensions were possible risk factors for developing anastomotic leakage after low anterior resection in patients with rectal cancer.
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Metadata
Title
Determining the protective characteristics and risk factors for the development of anastomotic leakage after low anterior resection for rectal cancer
Authors
Nobuaki Suzuki
Shin Yoshida
Shinobu Tomochika
Yuki Nakagami
Yoshitaro Shindo
Yukio Tokumitsu
Michihisa Iida
Shigeru Takeda
Shoichi Hazama
Tomio Ueno
Hiroaki Nagano
Publication date
01-05-2021
Publisher
Springer Singapore
Published in
Surgery Today / Issue 5/2021
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02133-0

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