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KMID : 0356720070230020101
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Journal of the Korean Society of Coloproctology
2007 Volume.23 No. 2 p.101 ~ p.109
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Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection in Rectal Cancer: Does Laparoscopic Rectal Resection Increase Anastomotic Leakage Rate?
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Lee Ho-Suk
Kim Min-Ghwon
Park Chang-Kyun
Cho Yoo-Jin
Hwang Duk-Won
Noh Sang-Ik
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Abstract
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Purpose: The purpose of this study is to evaluate the risk factors for clinical anastomotic leakage after laparoscopic resection for rectal cancer.
Methods: From March 2001 and February 2006 in Seoul Veterans’ Hospital, the prospective laparoscopic colorectal resection database identified 101 patients who a had laparoscopic rectal resection with colorectal or coloanal anastomosis. The associations between clinical anastomotic leakage and patient-, tumor-, surgery- and laparoscopic-related variables were studied.
Results: The rate of clinical anastomotic leakage was 4 percent (4 of 101). The patient-related variable significantly associated with clinical anastomotic leakage was preoperative radiotherapy. The surgery-related factor that turned out to be significant was anastomosis situated less than 5 cm from the anal verge. No tumor- or laparoscopic-related variables were significantly associated with clinical anastomotic leakage.
Conclusion: A protective ileostomy should be considered after a laparoscopic rectal resection for an rectal cancer for anastomosis situated less than 5 cm from the anal verge, particularly when preoperative radiotherapy is being used. J Korean Soc Coloproctol 2007;23:101-109
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KEYWORD
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Laparoscopic rectal resection, Anastomotic leakage
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