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Comparative study between transanal tube and loop ileostomy in low anterior resection for mid rectal cancer: a retrospective single center trial.
- Source :
-
Annals of surgical treatment and research [Ann Surg Treat Res] 2015 May; Vol. 88 (5), pp. 260-8. Date of Electronic Publication: 2015 Apr 30. - Publication Year :
- 2015
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Abstract
- Purpose: To investigate the efficacy and safety of the transanal tube (TAT) in preventing anastomotic leak (AL) in rectal cancer surgery.<br />Methods: Clinical data of the patients who underwent curative surgery for mid rectal cancer from February 2010 to February 2014 were reviewed retrospectively. Rectal cancers arising 5 to 10 cm above the anal verge were selected. Patients were divided into the ileostomy, TAT, or no-protection groups. Postoperative complications including AL and postoperative course were compared.<br />Results: We included 137 patients: 67, 35, and 35 patients were included in the ileostomy, TAT, and no-protection groups, respectively. Operation time was longer in the ileostomy group (P = 0.029), and more estimated blood loss was observed (P = 0.018). AL occurred in 5 patients (7.5%) in the ileostomy group, 1 patients (2.9%) in the TAT group, and 6 patients (17.1%) in the no-protection group (P = 0.125). Patients in the ileostomy group resumed diet more than 1 day earlier than those in the other groups (P = 0.000). Patients in the no-protection group had about 1 or 2 days longer postoperative hospital stay (P = 0.048). The ileostomy group showed higher late complication rates than the other groups as complications associated with the stoma itself or repair operation developed (P = 0.019).<br />Conclusion: For mid rectal cancer surgery, the TAT supports anastomotic site protection and diverts ileostomy-related complications. Further large scale randomized controlled studies are needed to gain more evidence and expand the range of TAT usage.
Details
- Language :
- English
- ISSN :
- 2288-6575
- Volume :
- 88
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Annals of surgical treatment and research
- Publication Type :
- Academic Journal
- Accession number :
- 25960989
- Full Text :
- https://doi.org/10.4174/astr.2015.88.5.260