Preventive factors of anastomotic leakage after laparoscopic anterior resection of rectal cancer
Jiang Jiwen
Rong Yaxiong
Shan Guoping
Chen Fei
Feng Shu
Abstract：Objective To explore the relevant factors of anastomotic leakage after laparoscopic anterior resection of rectal cancer,and to analyze the protective factors for preventing anastomotic leakage.Methods Clinical data of 199 patients with rectal cancer undergoing laparoscopic anterior resection in Wujin Hospital Affiliated to Jiangsu University from January 2016 to April 2019 were retrospectively analyzed.Relevant factors of anastomotic leakage were analyzed by univariate and multivariate logistic regression.Results Anastomotic leakage occurred in 8 patients(4.0％) and the incident time was 3 to 11 days.Two cases were cured by conservative treatment.Six cases underwent transverse colostomy,resulting in 1 death due to infectious shock and multiple organ failure;5 cases recovered after operation.The hospital stay time was 1 to 3 months.Univariate and multivariate analysis showed that preserving left colon artery and presetting anal drainage were protective factors of anastomotic leakage (both P ＜ 0.05);the distance between lower edge of tumor and anal margin≤7 cm was an independent risk factor of anastomotic leakage (P ＜ 0.05).Conclusions Preservation of left colon artery and presetting of anal drainage are important protective factors for preventing anastomotic leakage in laparoscopic anterior resection of rectal cancer.Patients with low rectal cancer have a high risk of anastomotic leakage.
Keywords：Rectal cancerLaparoscopeAnastomotic leakageProtective factor
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1847-1850 )