Laparoscopic anterior resection with or without transanal tube for rectal cancer patients – A multicenter randomized controlled trial - 12/08/21
Abstract |
Background |
In rectal cancer surgery, insertion of transanal tube has been shown to have efficacy to prevent anastomotic leakage. This randomized controlled study aims to clarify the incidence of anastomotic leakage with or without transanal tube in patients with rectal cancer.
Methods |
Patients who underwent elective low anterior resection were randomly allocated to either have transanal tube insertion or not for five days after surgery. We examined the incidence of anastomotic leakage, postoperative 30-day morbidity and mortality.
Results |
157 patients were randomized to the transanal tube group or the no-transanal tube group. Symptomatic anastomotic leakage occurred in six patients (7.6%) of the former group and eight patients (10.3%) in the latter group, without significant difference (p = 0.559). There was also no significant difference in morbidity between groups (p = 0.633) and no mortality was detected.
Conclusions |
Transanal tube insertion had no significant benefit towards prevention of anastomotic leakage in rectal cancer surgery.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Anastomotic leakage is a crucial complication in rectal cancer. |
• | Efficacy of transanal tube for preventing anastomotic leakage is unclear. |
• | Our RCT revealed transanal tube had no significant deterrence of anastomotic leakage. |
• | Transanal tube showed a trend toward preventative effect in male patients. |
Keywords : Transanal tube, Laparoscopic, Rectal cancer, Anastomotic leakage, Double stapling technique
Mappa
Vol 222 - N° 3
P. 606-612 - settembre 2021 Ritorno al numero
Articolo precedente
- Multiple hepatocellular carcinoma: Long-term outcomes following resection beyond actual guidelines. An Italian multicentric retrospective study
- Ilenia Bartolini, Tommaso Nelli, Nadia Russolillo, Alessandro Cucchetti, Benedetta Pesi, Luca Moraldi, Alessandro Ferrero, Giorgio Ercolani, Gianluca Grazi, Giacomo Batignani
- The effects of the Affordable Care Act on access and outcomes of colon surgery
- Ezra S. Brooks, Jason Tong, Catherine W. Mavroudis, Christopher Wirtalla, Giorgos C. Karakousis, Nicole M. Saur, Cary B. Aarons, Najjia N. Mahmoud, Rachel R. Kelz
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.
Già abbonato a @@106933@@ rivista ?