Can trans-anal reinforcing sutures after double stapling in lower anterior resection reduce the need for a temporary diverting ostomy?
- Authors
- Baek, Se-Jin; Kim, Jin; Kwak, Jungmyun; Kim, Seon-Hahn
- Issue Date
- 28-8월-2013
- Publisher
- BAISHIDENG PUBLISHING GROUP INC
- Keywords
- Anastomotic leak; Low anterior resection; Rectal neoplasms; Double-stapled anastomotic technique; Reinforcement sutures
- Citation
- WORLD JOURNAL OF GASTROENTEROLOGY, v.19, no.32, pp.5309 - 5313
- Indexed
- SCIE
SCOPUS
- Journal Title
- WORLD JOURNAL OF GASTROENTEROLOGY
- Volume
- 19
- Number
- 32
- Start Page
- 5309
- End Page
- 5313
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/102419
- DOI
- 10.3748/wjg.v19.i32.5309
- ISSN
- 1007-9327
- Abstract
- AIM: To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single institution. METHODS: The data of patients who received trans-anal reinforcing sutures were compared with those of patients who did not receive them after low anterior resection. Patients who underwent laparoscopic low anterior resection and the double-stapled anastomosis technique for primary rectal cancer between January 2008 and December 2011 were included in this study. Patients with no anastomosis, a hand-sewn anastomosis, high anterior resection, or preoperative chemoradiation were excluded. The primary outcomes measured were the incidence of postoperative anastomotic complications and placement of a diverting ileostomy. RESULTS: Among 110 patients, the rate of placement of a diverting ileostomy was significantly lower in the suture group (SG) compared with the non-suture control group (CG) [SG, n = 6 (12.8%); CG, n = 19 (30.2%), P = 0.031]. No significant difference was observed in the rate of anastomotic leakage [SG, n = 3 (6.4%); CG, n = 5 (7.9%)]. CONCLUSION: Trans-anal reinforcing sutures may reduce the need for diverting ileostomy. A randomized prospective study with a larger population should be performed in the future to demonstrate the efficacy of trans-anal reinforcing sutures. (C) 2013 Baishideng. All rights reserved.
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