Incidence and risk factors for rectovaginal fistula after low anterior resection for rectal cancer
| Autor: | Yasushi Ichikawa, Kazuteru Watanabe, Shuhei Kaida, Ryusei Matsuyama, Mari S. Oba, Nobuyuki Kamimukai, Itaru Endo, Shunichi Osada, Jun Watanabe, Hidetaka Shima, Daisuke Kawaguchi, Noriyuki Kamiya, Mitsuyoshi Ota, Hirotoshi Akiyama, Atsushi Ishibe |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Anastomotic Leak Anastomosis Postoperative Complications Risk Factors medicine Humans Intraoperative Complications Aged Retrospective Studies Aged 80 and over Rectal Neoplasms business.industry Incidence Incidence (epidemiology) Anastomosis Surgical Rectovaginal Fistula Rectum Gastroenterology Odds ratio Middle Aged medicine.disease Confidence interval Surgery Dissection Rectovaginal fistula Lymph Node Excision Female Laparoscopy Complication business |
| Zdroj: | International Journal of Colorectal Disease. 30:1659-1666 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-015-2340-5 |
| Popis: | The rectovaginal fistula (RVF) is a rare complication after low anterior resection (LAR) for rectal cancer. The aim of this study was to evaluate the risk factors for RVF after LAR for rectal cancer. This was a retrospective multi-institution study of 371 female rectal cancer patients who underwent LAR with anastomosis between January 2007 and December 2011. Patient-, tumor-, and surgery-related variables were examined by univariate and multivariate analyses. The overall RVF rate was 3.0 % (11/371). The RVF was diagnosed on median postoperative day 83 (15–766). In 81.8 % (9/11) of the patients, the diagnosis of RVF was made after hospital discharge. Multivariate analysis identified prognostic nutritional index (PNI; odds ratio (OR) 6.97; 95 % confidence interval (CI) 1.47–33.08; P = 0.015), preoperative chemotherapy (OR 27.31; CI 3.49–213.62; P = 0.002), tumor size (OR 5.90; CI 1.04–33.47; P = 0.045), intraoperative bleeding (OR 13.91; CI 1.34–144.42; P = 0.027), and lateral lymph node dissection (OR 4.92; CI 1.02–23.63; P = 0.045) as independent risk factors for RVF after LAR. Risk factors of RVF were PNI ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink