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01-05-2016 | Original Article

Transanal drainage tube placement to prevent anastomotic leakage following colorectal cancer surgery with double stapling reconstruction

Authors: Mutsuhito Matsuda, Masashi Tsuruta, Hirotoshi Hasegawa, Koji Okabayashi, Takayuki Kondo, Takehiro Shimada, Masashi Yahagi, Yusuke Yoshikawa, Yuko Kitagawa

Published in: Surgery Today | Issue 5/2016

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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Title: Transanal drainage tube placement to prevent anastomotic leakage following colorectal cancer surgery with double stapling reconstruction
Authors: Mutsuhito Matsuda
Masashi Tsuruta
Hirotoshi Hasegawa
Koji Okabayashi
Takayuki Kondo
Takehiro Shimada
Masashi Yahagi
Yusuke Yoshikawa
Yuko Kitagawa
Publication date: 01-05-2016
Publisher: Springer Japan
Published in: Surgery Today / Issue 5/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-015-1230-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transanal drainage tube placement to prevent anastomotic leakage following colorectal cancer surgery with double stapling reconstruction

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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