Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer

Autor:	Masafumi Nakamura, Yusuke Mizuuchi, Hiroshi Kitagawa, Hirokazu Noshiro, Yasuo Koga, Tatsuya Manabe, Takaaki Fujimoto, Yasuhiro Tsuru
Rok vydání:	2022
Předmět:	medicine.medical_specialty Proctectomy business.industry Colorectal cancer Rectal Neoplasms General Medicine medicine.disease Perineum Surgery Postoperative Complications Risk Factors Abdomen medicine Retrospective analysis Humans Incisional Hernia business Perineal hernia Retrospective Studies
Zdroj:	BMC Surgery. 22
ISSN:	1471-2482
Popis:	Background In contrast to open-surgery abdominoperineal excision (APE) for rectal cancer, postoperative perineal hernia (PPH) is reported to increase after extralevator APE and endoscopic surgery. In this study, therefore, we aimed to determine the risk factors for PPH after endoscopic APE. Methods A total 73 patients who underwent endoscopic APE for rectal cancer were collected from January 2009 to March 2020, and the risk factors for PPH were analyzed retrospectively. Results Nineteen patients (26%) developed PPH after endoscopic APE, and the diagnosis of PPH was made at 9–393 days (median: 183 days) after initial surgery. Logistic regression analysis showed that absence of pelvic peritoneal closure alone increased the incidence of PPH significantly (odds ratio; 13.76, 95% confidence interval; 1.48–1884.84, p = 0.004). Conclusions This preliminary study showed that pelvic peritoneal closure could prevent PPH after endoscopic APE.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e42aaab5eca155074b51f479d8ad35de https://doi.org/10.1186/s12893-022-01538-7 Zobrazit plný text záznamu Full text from SpringerLink