Tailored treatment of anastomotic leak after rectal cancer surgery according to the presence of a diverting stoma

• DOI: 10.4174/astr.2020.99.3.171
• Publication Date: 2020-09-01T05:15:56Z
• Authors: Chang Hyun Kim; Jaram Lee; Han Deok Kwak; Soo Young Lee; Jae Kyun Ju; Hyeong Rok Kim
• Keywords: Stoma (medicine); Chemoradiotherapy

A variety of clinical features anastomotic leak occur during the surgical treatment rectal cancer. However, little information regarding management leakage is available and guidelines have not been validated. The aim this study was to evaluate validity currently proposed expert opinions on leak, after low anterior resection for cancer.A retrospective analysis conducted 1,786 patients who underwent sphincter-preserving surgery cancer between 2005 2015. Clinical outcomes including leak-associated mortality permanent stoma were analyzed.The overall incidence 6.8% (122 1,786), 6.1% (30 493 patients) with diverting 7.1% (92 1,293 without (P = 0.505). majority diversion treated (76 88 [86.4%]); 1 (0.8%) observed in group. Treatments group mainly included conservative treatment, local drainage, and/or transanal repair (26 30 [86.7%]). failure rates 20.7% (19 92 no 53.3% (16 In multivariate analysis, preoperative chemoradiotherapy < 0.001) delayed diagnosis 0.036) independent risk factors stoma.Management should be tailored individual patients. When occurred, seemed associated stoma.