Indication analysis for defunctioning stoma following sphincter preserving surgery
HAN Yadong
ZHU Xiaocheng
LI Xiangnong
LI Chao
YANG Jun
SHI Linsen
WANG Hun
MENG Song
Abstract：Objective To investigate the reasons of anastomotic leakage ( AL ) after sphincter preserving surgery of rectal cancer, and find the indications for defunctioning stoma. Methods 816 rectal cancer patients who underwent sphincter preserving surgery in our hospital from Mar. 2004 to Mar. 2014 were treated as research subjects. Factors such as their age, gender, underlying diseases, nutritional status, smoking history and alcohol abuse, blood loss, operative time, anatomotic height were collected for researching. The relationship between AL and the collecting factors were statistically analyzed. Results The rates of AL of male, aged ≥65 years, diabetes, alcoholism, anastomosis height≤5cm, the length of surgery more than three hours, are significantly higher than their corresponding control group. Conclusions Gender, age, diabetes, alcoholism, low anastomo-sis and surgical time can be treated as risk factors for AL following sphincter preserving surgery, and these fac-tors might play important roles in evaluating the necessity of defunctioning stoma.
Keywords：rectal cancersphincter preserving surgeryanastomotic leakagerisk factors
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 69-73 )