Journal ArticleDOI
Multicenter Analysis of Risk Factors for Anastomotic Leakage After Laparoscopic Rectal Cancer Excision The Korean Laparoscopic Colorectal Surgery Study Group
Jun Seok Park,Gyu-Seog Choi,Seon Hahn Kim,Hyeong Rok Kim,Nam Kyu Kim,Kang Young Lee,Sung Bum Kang,Ji-Yeon Kim,Kil Yeon Lee,Byung Chun Kim,Byung Noe Bae,Gyung Mo Son,Sun Il Lee,Hyun Kang +13 more
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TLDR
Male sex, low anastomosis, preoperative chemoradiation, advanced tumor stage, perioperative bleeding, and multiple firings of the linear stapler increased the risk of AL after laparoscopic surgery for rectal cancer.Abstract:
Objective:To assess the risk factors for clinical anastomotic leakage (AL) in patients undergoing laparoscopic surgery for rectal cancer.Background:Little data are available about risk factors for AL after laparoscopic rectal cancer resection.Methods:This was a retrospective analysis of 1609 patientread more
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Journal ArticleDOI
Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks.
TL;DR: A systematic review of the literature focusing on the role of preoperative, intraoperative and postoperative factors in the development of colorectal ALs found that there remains a lack of consensus regarding factors that may predispose to AL.
Journal ArticleDOI
Incidence and Risk Factors for Anastomotic Failure in 1594 Patients Treated by Transanal Total Mesorectal Excision: Results From the International TaTME Registry.
Marta Penna,Roel Hompes,S. Arnold,Greg Wynn,Ralph Austin,Janindra Warusavitarne,Brendan Moran,George B. Hanna,Neil Mortensen,P. Tekkis,P. Tekkis +10 more
TL;DR: Large tumors in obese, diabetic male patients who smoke have the highest risk of anastomotic failure following Transanal Total Mesorectal Excision, and acknowledging such risk factors can guide appropriate consent and clinical decision-making that may reduce anastsomotic-related morbidity.
Journal ArticleDOI
Predictive factors for anastomotic leakage after laparoscopic colorectal surgery.
Antonio Sciuto,Giovanni Merola,Giovanni Domenico De Palma,Maurizio Sodo,Felice Pirozzi,Umberto Bracale,Umberto Bracale +6 more
TL;DR: A careful review of the existing literature on anastomotic leakage found several different definitions of AL which leads to believe that the lack of a consensual, standard definition can partly explain the considerable variations in reported rates of AL in clinical studies.
Journal ArticleDOI
Indocyanine green-enhanced fluorescence to assess bowel perfusion during laparoscopic colorectal resection
TL;DR: ICG-enhanced fluorescent angiography provides useful intraoperative information about the vascular perfusion during colorectal surgery and may lead to change the site of resection and/or anastomosis, possibly affecting the anastOMotic leak rate.
Journal ArticleDOI
Clinical risk factors for anastomotic leakage after laparoscopic anterior resection for rectal cancer: a systematic review and meta-analysis
Hui Qu,Yao Liu,Dong-song Bi +2 more
TL;DR: The authors' analysis identified several clinicopathologic factors associated with AL in patients who underwent laparoscopic anterior resection (LAR) for rectal cancer, and the knowledge of these risk factors may influence treatment- and procedure-related decisions and possibly reduce the leakage rate.
References
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Journal ArticleDOI
Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial.
R. Veldkamp,Esther Kuhry,Wim C. J. Hop,Johannes Jeekel,Geert Kazemier,Hendrik J. Bonjer,Eva Haglind,Lars Påhlman,Miguel A. Cuesta,Simon Msika,M. Morino,Antonio M. Lacy +11 more
TL;DR: Laroscopic colectomy was associated with earlier recovery of bowel function, need for fewer analgesics, and with a shorter hospital stay compared with open colectology.
Journal ArticleDOI
Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group.
David G. Jayne,Pierre J. Guillou,H. Thorpe,Philip Quirke,Joanne Copeland,Adrian Smith,Richard M. Heath,Julia Brown +7 more
TL;DR: Long-term outcomes for patients with rectal cancer were similar in those undergoing abdominoperineal resection and AR, and support the continued use of laparoscopic surgery in these patients.
Journal ArticleDOI
Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial.
James W. Fleshman,Daniel J. Sargent,Erin M. Green,Mehran Anvari,Steven J. Stryker,Robert W. Beart,Michael D. Hellinger,Richard Flanagan,Walter R. Peters,Heidi Nelson +9 more
TL;DR: Laparoscopic colectomy for curable colon cancer is not inferior to open surgery based on long-term oncologic endpoints from a prospective randomized trial.
Journal ArticleDOI
Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer : A randomized multicenter trial
TL;DR: Defunctioning loop stoma decreased the rate of symptomatic anastomotic leakage and is therefore recommended in low anterior resection for rectal cancer.
Journal ArticleDOI
Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial.
Sung Bum Kang,Ji Won Park,Seung-Yong Jeong,Byung-Ho Nam,Hyo Seong Choi,Duck-Woo Kim,Seok-Byung Lim,Taek-Gu Lee,Dae Yong Kim,Jae Sung Kim,Hee Jin Chang,Hye Seung Lee,Sun Young Kim,Kyung Hae Jung,Yong Sang Hong,Jee Hyun Kim,Dae Kyung Sohn,Dae-Hyun Kim,Jae Hwan Oh +18 more
TL;DR: The laparoscopic surgery group showed earlier recovery of bowel function than the open surgery group, and Involvement of the circumferential resection margin, macroscopic quality of the total mesorectal excision specimen, and perioperative morbidity did not differ between the two groups.