Low anterior resection without defunctioning stoma

The aim of our study was to determine the anastomotic leakage rate after the performance of low anterior resection without protective stoma. During the time period from 1989 to 2001, 82 consecutive patients underwent low anterior resection for rectal carcinoma without protective stoma. Thirteen anas...

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Bibliographic Details
Published in:Techniques in coloproctology 2002-12, Vol.6 (3), p.153-157
Main Authors: Kanellos, I, Zacharakis, E, Christoforidis, E, Demetriades, H, Betsis, D
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical - adverse effects
Carcinoma - physiopathology
Carcinoma - surgery
Colostomy - adverse effects
Female
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Postoperative Complications
Rectal Neoplasms - physiopathology
Rectal Neoplasms - surgery
Retrospective Studies
Risk Factors
Severity of Illness Index
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - physiopathology
Treatment Failure
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Summary:The aim of our study was to determine the anastomotic leakage rate after the performance of low anterior resection without protective stoma. During the time period from 1989 to 2001, 82 consecutive patients underwent low anterior resection for rectal carcinoma without protective stoma. Thirteen anastomoses were hand sewn (15.8%) and the remaining 69 (84.2%) were constructed with the use of a circular stapling gun. The mean distance of the anastomoses from the anal margin was 6.2 cm (range, 3-9 cm). None of the 82 low anterior resections was covered by a defunctioning stoma. Clinical anastomotic leakage occurred in 4 patients (4.9%) and 4 other patients presented radiologically detected leakage (4.9%). No death occurred in the 8 patients that presented anastomotic dehiscence. Non-specific complications were detected in 11 (13.4%) of 82 patients. In conclusion, the low leakage rate of the anastomoses in our patients allows us to recommend low anterior resection without defunctioning stoma.
ISSN:1123-6337
1128-045X
DOI:10.1007/s101510200035