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Macau Periodical Index (澳門期刊論文索引)
- Author
- Latteri, Mario Adelfio; Grassi, Nello; Pantuso, Gianni; Piazza, Giovanni; Stella, Carmen; Acquaro, Paola; Student, Federica Latteri; Paterno, Flavio
- Title
- Protective colostomy in anterior resection for rectal cancer: current role
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2002年12月26日, Vol.2, No.4, pp. 111-114
- Keyword
- Rectal cancer；Anterior resection；Colostomy；Anastomotic leakage
- Abstract
- Objective: Anastomotic dehiscence is an important cause of morbidity and mortality after anterior resection for rectal cancer. Regarding this problem, the use of a protective defumctioning stoma still remains a point of debate. Methods: Fifty-eight patients with rectal cancer between 3.5 to 15 cm from the anal verge underwent anterior resection and total mesorectal excision. A protective colostomy was performed in forty-four patients according to the geight and the type of anastomosis. Results: In this study of fifty-eight patients, two had clinically evident dehiscences and two radiological ones with an overall incidence of 7%. Conclusions: It is not necessary to construct a protective colostomy for all anterior resections but it can be beneficial in selective cases. The parameters useful in deciding when to apply a protective colostomy are those that most influence the incidence of anastomotic dehiscence: height of the anastomosis from the anal verge, type of anastomosis, preoperative radiotherapy and local risk factors. Paragraph Headings： 1. Introduction 2. Methods 3. Results 4. Discussion Tables： 1. Anastomotic leaks after 58 anterior resections 2. Clinical leak rate after anterior resection 3. Clinical leaks related to height of anastomosis above anal verge 4. Anastomotic Leaks Related to Colostomy