Retrospective Risk Analysis for Anastomotic Leakage Following Laparoscopic Rectal Cancer Surgery in a Single Institute

Hiraki, Masatsugu; Tanaka, Toshiya; Ikeda, Osamu; Sadashima, Eiji; Kimura, Noriko; Nakamura, Satomi; Nakamura, Hiroaki; Yamada, Kohei; Okuyama, Keiichiro; Yamaji, Koutaro; Manabe, Tatsuya; Miyoshi, Anderson; Kono, Kenji; Sato, Seiji; Noshirο, Hirokazu

doi:10.1007/s12029-019-00315-9

Cited by 15 publications

(12 citation statements)

References 22 publications

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“…The initial post-operative course after low anterior resection was uneventful, except for post-operative watery diarrhea seven times on POD5. We previously reported that early post-operative diarrhea was an independent risk factor for anastomotic leakage after low anterior resection [ 1 ]. This might influence the clinical course and post-operative complications.…”

Section: Discussionmentioning

confidence: 99%

“…Liquid food was started on postoperative day (POD) 4. The transanal decompression tube placed during the surgery [ 1 ] was removed on POD5. Solid food was started on POD6.…”

Section: Case Presentationmentioning

confidence: 99%

“…Anastomotic leakage after low anterior resection for rectal cancer is a serious complication, with a recently reported incidence of 9.7%–12.4% [ 1 , 2 ]. Among the female patients, 1.6%–3.0% of the patients experiences rectovaginal fistula (RVF), which is more complicated than other complications and refractory to treatment [ [3] , [4] , [5] ].…”

Section: Introductionmentioning

confidence: 99%

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The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report

Hiraki

Tanaka

Kanai

et al. 2020

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Liquid food was started on postoperative day (POD) 4. The transanal decompression tube placed during the surgery [ 1 ] was removed on POD5. Solid food was started on POD6.…”

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report

Hiraki

Tanaka

Kanai

et al. 2020

International Journal of Surgery Case Reports

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“…The acute diffuse peritonitis caused by anastomotic leakage is the most serious complication after rectal surgery, which can lead to reoperation, even cause death [27] . In previous study, the incidence of anastomotic leakage is 3.0% to 12.1% in robotic rectal surgery and 2.6% to 6.8% in laparoscopic surgery [13,16] , and the anastomotic leakage usually caused by low anastomotic position, poor blood ow, high tension and local infection [28,29] . In this meta-analysis, the incidence of anastomotic leakage was 7.7%% in robotic group and 6.2% in laparoscopic group, the pooled result shown no signi cant different between two group, which is similar to the results of Prete and Luo's meta-analysis [10,26] .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Postoperative Complications Between Robotic and Laparoscopic Rectal Cancer Surgery

Tang¹,

Xiong²,

Ai³

et al. 2020

Preprint

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Objective: Robotic and laparoscopic surgery for rectal cancer have been applied in clinic for decades, nevertheless, which surgical approach has a lower rate of postoperative complications is still inconclusive. Therefore, the aim of this meta-analysis is to compare the postoperative complications between robotic and laparoscopic rectal cancer surgery based on randomized controlled trials.Methods: Randomized controlled trials (until May 2020) which compared robotic and laparoscopic rectal cancer surgery were searched through PubMed, EMbase, Cochrane library, CNKI, Wan Fang databases and CBM. Data regarding sample size, clinical and demographic characteristics, overall postoperative complications, and the incidence of anastomotic leakage、incision infection、bleeding、 ileus、respiratory complications、 urinary complications、unscheduled reoperation 、perioperative mortality were extracted. The results were analyzed using RevMan v5.3.Results: Seven randomized controlled trials which included 507 robotic and 516 laparoscopic rectal cancer surgery cases were included. Meta-analysis showed that the overall postoperative complications [Z=1.1，OR=1.18，95% CI (0.88-1.57), P=0.27], anastomotic leakage [Z=0.96, OR=1.27, 95% CI (0.78-2.08), P=0.34], incision infection [Z=0.18, OR=1.05, 95% CI (0.61-1.79), P=0.86], bleeding [Z=0.19, OR=0.89, 95% CI (0.27-2.97), P=0.0.85], ileus [Z=1.47, OR=0.66, 95% CI (0.38-1.15), P=0.14], respiratory complications [Z=0.84, OR=0.64, 95% CI (0.22-1.82), P=0.40], urinary complications [Z=0.66, OR=1.22, 95% CI (0.67-2.22),P=0.51], unscheduled reoperation [Z=0.14, OR=0.91, 95% CI (0.26-3.20), P=0.89], perioperative mortality [Z=0.28, OR=0.79, 95% CI (0.15-4.12), P=0.78] were similar between robotic and laparoscopic rectal surgery.Conclusion: Robotic surgery for rectal cancer was comparable to laparoscopic surgery with respect to postoperative complications.

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“…Anastomotic leakage after left-sided colorectal cancer surgery is one of the most serious complications. While various reports exist on the risk factors of AL 1,2,3) , there is no standard treatment indications.…”

Section: Discussionmentioning

confidence: 99%

Treatment strategy and outcome of anastomotic leakage after left-sided colorectal cancer surgery –Non-surgical V.S. Surgical treatment–

Imanishi

Miyauchi

Maruyama

et al. 2019

Ann. Cancer Res. Therap.

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Anastomotic leakage (AL) after left-sided colorectal cancer surgery is one of the most serious complication. Once anastomotic leakage occur, we have to select the treatment, non-surgical or surgical. The aim of this study is to evaluate the outcome of the treatments for AL after left-sided colorectal surgery in our institution. Fifty-five patients who had AL after left-sided colorectal surgery were included in this study. Thirty nine were treated for non-surgical treatment (non-surgical group). In eight patients, we had to change the strategy from non-surgical to surgical during non-surgical treatment (convert group). Eight patients were treated for surgical treatment at first due to generalized peritonitis (surgical group). There were not significant differences in patient's background and blood examination between these groups. The patients who had three symptoms (the change of drain contents, fever higher than 38℃ and abdominal pain) in convert group were significantly more frequent than those of non-surgical group (50%:7.7% P = 0.01). The rate of diverting stoma in non-surgical group were significantly more frequent than those of convert and surgical groups (25.6%:6.2% P < 0.001). In all of 55 patients, the rate of permanent stoma was 9% and mortality was 0%. In selected patients without generalized peritonitis, AL after left-sided colorectal cancer can be controlled by non-surgical treatment. Furthermore it may decrease the rate of permanent stoma. Moreover, we should select surgical treatment at first step for the patients who had three clinical symptoms even in the absence of findings of generalized peritonitis.

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Retrospective Risk Analysis for Anastomotic Leakage Following Laparoscopic Rectal Cancer Surgery in a Single Institute

Cited by 15 publications

References 22 publications

The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report

The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report

Comparison of Postoperative Complications Between Robotic and Laparoscopic Rectal Cancer Surgery

Treatment strategy and outcome of anastomotic leakage after left-sided colorectal cancer surgery –Non-surgical V.S. Surgical treatment–

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