Low anterior resection combined with a covering stoma in the treatment of rectal cancer reduces the risk of permanent anastomotic failure

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• 作者：Minna R?s?nen ; Laura Renkonen-Sinisalo…
• 关键词：Rectal cancer ; Colorectal/coloanal anastomosis ; Anastomotic failure ; Covering stoma
• 刊名：International Journal of Colorectal Disease
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：30
• 期：10
• 页码：1323-1328
• 全文大小：258 KB
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• 作者单位：Minna R?s?nen (1) (2) r> Laura Renkonen-Sinisalo (1) (3) r> Monika Carpelan-Holmstr?m (1) r> Anna Lepist? (1) r>r>1. Colorectal Surgery, Abdominal Center, Helsinki University Hospital, Kasarmikatu 11-13, Pl 263, 00029, Helsinki, Finland r> 2. University of Helsinki, Helsinki, Finland r> 3. Research Programs Unit, Genome-Scale Biology, University of Helsinki, Helsinki, Finland r>
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Healthr>Surgeryr>Internal Mediciner>Gastroenterologyr>Hepatologyr>Proctologyr>
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1262

文摘

Purpose The adoption of the total mesorectum excision technique and circular stapler devices has enabled the performance of ultralow colorectal anastomosis in rectal cancer surgery. However, rupture of the anastomosis still usually leads to a permanent stoma. The aim of this study was to analyze the cumulative failure rate and risk factors associated with reversal of colorectal or coloanal anastomosis after sphincter-saving surgery for rectal cancer, using standardized surgical regimen with the routine use of covering stoma. Our secondary interest was the feasibilities of redo surgery after failure.