Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME
| Autor: | Hyein Lee, Sang Chul Lee, Han Beol Jang, Sang-Bum Kang, Byung Jo Choi |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Colorectal cancer Anastomotic Leak Anastomosis Postoperative Complications Rare Diseases medicine Humans Sinus (anatomy) Retrospective Studies Transanal Endoscopic Surgery Rectal Neoplasms business.industry Incidence (epidemiology) Significant difference Rectum Retrospective cohort study medicine.disease Total mesorectal excision Surgery Treatment Outcome medicine.anatomical_structure Anastomotic leakage Laparoscopy business |
| Zdroj: | Asian Journal of Surgery. 45:2197-2202 |
| ISSN: | 1015-9584 |
| Popis: | Background Several studies have shown that there are no significant differences in anastomotic leakage associated with Transanal total mesorectal excision (taTME) versus laparoscopic TME (lapTME) for rectal cancer; however, little is known about late anastomotic leakage, such as that primarily found in the chronic presacral sinus. We aimed to compare the occurrence of anastomotic leakage and chronic presacral sinus in rectal cancer for taTME and lapTME. Methods In this retrospective cohort study, data were collected for patients with rectal cancer who underwent surgery between January 2009 and September 2019. Of the 220 patients included in this study, 182 were in the lapTME group and 38 in the taTME group. We compared factors associated with anastomotic leakage and chronic presacral sinus formation between the two groups. A binary-logistic model was used to determine the risk factors for chronic presacral sinus. Results Anastomotic leakage occurred in six patients (15.8%) in the taTME group and 36 patients (19.7%) in the lapTME group. Chronic presacral sinus occurred in three patients (7.9%) in the taTME group and 15 patients (8.2%) in the lapTME group. There was no significant difference in anastomotic leakage or chronic presacral sinus between groups (P = 0.569 and P = 1.000, respectively). Pathologic stage III or higher was significantly associated with chronic presacral sinus formation (P = 0.006). Conclusion There were no significant differences between taTME and lapTME regarding the incidence of anastomotic leakage or chronic presacral sinus. Almost one-third of anastomotic leakages developed into chronic presacral sinus. |
| Databáze: | OpenAIRE |
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