当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF COLORECTAL DISEASE期刊下所有文献 > Delayed anastomotic leakage following sphincter-preserving surgery for rectal cancer.

Delayed anastomotic leakage following sphincter-preserving surgery for rectal cancer.

Abstract：

PURPOSE:The aim of the present study was to investigate the characteristics of patients who developed delayed anastomotic leakage (DAL) following sphincter-preserving surgery for rectal cancer. We evaluated the following factors: (1) the incidence of DAL, (2) the clinical features of patients who developed DAL, (3) the risk factors for DAL, and (4) treatment outcomes. METHODS:We reviewed the case histories of 1,838 rectal cancer patients who had undergone curative resection with sphincter preservation and without protective stoma formation between January 2000 and December 2006. DAL was defined as the development of a pelvic abscess or fistula around the anastomosis more than 3 weeks post-surgery in patients without tumor recurrence who had resumed a normal diet and defecation. RESULTS:In 1.3% (24/1,838) of the patients, DAL developed on median postoperative day 99 (range 22-2,069). Pelvic abscess (50%) and anastomotic-vaginal fistula (41.7%) were the most common causes of DAL. Independent risk factors for the development of DAL were: (1) female gender (hazard ratio 3.03; 95% CI 1.06-8.8), (2) low-level anastomosis (< or = 4 cm from the anal verge) (hazard ratio 5.76; 95% CI 1.37-22.39), and (3) preoperative chemoradiation therapy (hazard ratio 4.56; 95% CI 1.4-14.92). Stoma formation was performed in all of the 24 patients. The 3-year stoma-retention rate in patients with DAL was significantly higher than in patients with early anastomotic leakage (72.2% vs 17.5%, P < 0.001). CONCLUSIONS:DAL following sphincter-preserving surgery for rectal cancer occurred relatively frequently in our sample and was associated with female gender, a low level of anastomosis, and preoperative radiotherapy. DAL patients required long-term or permanent stomas.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Shin US,Kim CW,Yu CS,Kim JC

doi

10.1007/s00384-010-0938-1

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

843-9

issue

7

eissn

0179-1958

issn

1432-1262

journal_volume

25

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE文献大全
  • Learning curve for robotic-assisted laparoscopic rectal cancer surgery.

    abstract：INTRODUCTION:One of the main uses of robotic assisted abdominal surgery is the mesorectal excision in patients with rectal cancer. The aim of the present study is to analyse the learning curve for robotic assisted laparoscopic resection of rectal cancer. PATIENTS AND METHODS:We included in our study 43 consecutive rec...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-012-1620-6

    authors： Jiménez-Rodríguez RM,Díaz-Pavón JM,de la Portilla de Juan F,Prendes-Sillero E,Dussort HC,Padillo J

    更新日期：2013-06-01 00:00:00

  • Bilateral type diverticular disease of the colon.

    abstract：:7,543 double-contrast barium enema studied for the presence of diverticula which were classified into right-sided, left-sided and bilateral types, and the relationship of the frequency (detection rate) and numbers of diverticula to age were examined for the earlier (1982-87) and later (1988-92) periods. Diverticular d...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00342463

    authors： Miura S,Kodaira S,Aoki H,Hosoda Y

    更新日期：1996-01-01 00:00:00

  • Perioperative use of tamsulosin significantly decreases rates of urinary retention in men undergoing pelvic surgery.

    abstract：PURPOSE:Urinary retention is a common complication of pelvic surgery, leading to urinary tract infection and prolonged hospital stays. Tamsulosin is an alpha blocker that works by relaxing bladder neck muscles. It is used to treat benign prostatic hypertrophy and retention. We aim to investigate the potential benefits ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-015-2294-7

    authors： Poylin V,Curran T,Cataldo T,Nagle D

    更新日期：2015-09-01 00:00:00

  • A single institution's long-term follow-up of patients with pathological complete response in locally advanced rectal adenocarcinoma following neoadjuvant chemoradiotherapy.

    abstract：PURPOSE:This paper aimed to study the long term follow-up of patients with primary rectal adenocarcinoma receiving neoadjuvant chemoradiotherapy who obtained a pathological complete response (pCR) and identify factors predicting complete response. METHODS:Retrospective review of notes, histology, pre-operative full bl...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-016-2712-5

    authors： Runau F,Collins A,Fenech GA,Ford E,Dimitriou N,Chaudhri S,Yeung JM

    更新日期：2017-03-01 00:00:00

  • A systematic review and meta-analysis of adjuvant chemotherapy after neoadjuvant treatment and surgery for rectal cancer.

    abstract：BACKGROUND:Current guidelines support the use of adjuvant chemotherapy (CT) following neoadjuvant chemoradiotherapy (CTRT) and surgery to treat rectal cancer, although clinical trials have provided little evidence that it is effective. We performed a systematic review of published studies to assess whether adjuvant CT ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00384-014-2082-9

    authors： Petrelli F,Coinu A,Lonati V,Barni S

    更新日期：2015-04-01 00:00:00

  • Risk factors of lateral pelvic lymph node metastasis in advanced rectal cancer.

    abstract：BACKGROUND:To clarify the risk factors of lateral pelvic lymph node (LPLN) metastasis of rectal cancer, we examined associations between LPLN status and clinicopathological factors including LPLN status diagnosed by computed tomography (CT). METHODS:We reviewed a total of 210 patients with advanced rectal cancer, of w...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0704-4

    authors： Fujita S,Yamamoto S,Akasu T,Moriya Y

    更新日期：2009-09-01 00:00:00

  • Solo operated haemorrhoid ligator rectoscope. A report on 200 consecutive bandings.

    abstract：:A new solo operated haemorrhoid ligator rectoscope is described by the author. This new ligator consists of a double barreled cone, one fitting precisely inside the other. The device functions as a rectoscope to visualize the wall of the ano-rectum and at the same time the distal end of the interior barrel carries the...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s003840050077

    authors： Budding J

    更新日期：1997-01-01 00:00:00

  • The influence of postoperative complications on long-term prognosis in patients with colorectal carcinoma.

    abstract：BACKGROUND:The impact of postoperative complications (POCs) on the long-term prognosis of patients with colorectal carcinoma was analysed with respect to their severity according to the Clavien-Dindo classification (CDC). METHODS:The prospectively collected data of 2158 patients who underwent curative resection of a c...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03557-3

    authors： Beck C,Weber K,Brunner M,Agaimy A,Semrau S,Grützmann R,Schellerer V,Merkel S

    更新日期：2020-06-01 00:00:00

  • Loop-ileostomy reversal-patient-related characteristics influencing time to closure.

    abstract：PURPOSE:To identify factors associated with timing of stoma reversal after rectal cancer surgery in a large Swedish register-based cohort. METHODS:Three thousand five hundred sixty-four patients with rectal cancer who received a protective stoma during surgery in 2007-2013 were identified in the Swedish colorectal can...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-018-2994-x

    authors： Gustafsson CP,Gunnarsson U,Dahlstrand U,Lindforss U

    更新日期：2018-05-01 00:00:00

  • Significance of hepatic arterial responsiveness for adequate tissue oxygenation upon portal vein occlusion in cirrhotic livers.

    abstract：:We investigated sinusoidal blood flow and hepatic tissue oxygenation during portal vein occlusion in cirrhotic rat livers to examine the effect of cirrhosis on the properties of hepatic microvascular blood flow regulation. After 8 weeks of CCl4/phenobarbital sodium treatment to induce cirrhosis Sprague-Dawley rats wer...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s003840000247

    authors： Mücke I,Richter S,Menger MD,Vollmar B

    更新日期：2000-11-01 00:00:00

  • Radical resection in obstructing colorectal carcinomas.

    abstract：:Emergency resections of obstructing colorectal carcinomas usually involve only limited rather than radical lymphadenectomy, which may contribute to the poor long-term survival of these patients. Thirty patients with ileus due to colorectal cancer have been included in a prospective follow-up study since January 1995. ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s003840050170

    authors： Kruschewski M,Runkel N,Buhr HJ

    更新日期：1998-01-01 00:00:00

  • Optimal timing of urinary catheter removal following pelvic colorectal surgery: a systematic review and meta-analysis.

    abstract：PURPOSE:Acute urinary retention (AUR) is a common postoperative complication in colorectal surgery. In pelvic colorectal operations, the optimal duration for postoperative urinary catheter use is controversial. This systematic review and meta-analysis aims to compare early (POD 1), intermediate (POD 3), and late (POD 5...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00384-019-03404-0

    authors： Lee Y,McKechnie T,Springer JE,Doumouras AG,Hong D,Eskicioglu C

    更新日期：2019-12-01 00:00:00

  • Stapled and conventional Milligan-Morgan haemorrhoidectomy: different solutions for different targets.

    abstract：PURPOSE:Haemorrhoidal disease is one of the most common anorectal disorders. The aim of this study is to compare the results, over the last 10 years, of stapled haemorrhoidopexy (SH) with those of standard Milligan-Morgan haemorrhoidectomy (M&M). Furthermore, we discuss the proper indications for each technique in term...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-011-1342-1

    authors： Panarese A,Pironi D,Vendettuoli M,Pontone S,Arcieri S,Conversi A,Romani AM,Filippini A

    更新日期：2012-04-01 00:00:00

  • The role of obesity on the recurrence of pilonidal sinus disease in patients, who were treated by excision and Limberg flap transposition.

    abstract：:Recurrence of pilonidal sinus disease after surgical intervention is not a very rare problem although sophisticated reconstruction procedures have been developed. Recurrence is thought to be related to the anatomical status of the patients, i.e., depth of the intergluteal groove. Obese patients have deeper interglutea...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s003840000212

    authors： Cubukçu A,Gönüllü NN,Paksoy M,Alponat A,Kuru M,Ozbay O

    更新日期：2000-06-01 00:00:00

  • Review of local injection of anti-TNF for perianal fistulising Crohn's disease.

    abstract：BACKGROUND:Perianal fistulising Crohn's disease (PFCD) affects a third of Crohn's disease patients and represents a disabling phenotype with poor outcome. The anti-tumour necrosis factor alpha (TNF) therapies have been shown to maintain clinical remission in a third of patients after 1 year of treatment. Maintenance th...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/s00384-017-2899-0

    authors： Adegbola SO,Sahnan K,Tozer PJ,Phillips RK,Faiz OD,Warusavitarne J,Hart A

    更新日期：2017-11-01 00:00:00

  • Extent of surgery and recurrence rate of hidradenitis suppurativa.

    abstract：:Hidradenitis suppurativa (HS) is a chronic fistula- and abscess-forming disease of the cutis and subcutis of unknown etiology. Disease recurrence is frequent and may cause severe complications. We analyzed patients with HS who underwent surgery between 1976 and 1997. The operative procedures were divided into drainage...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s003840050159

    authors： Ritz JP,Runkel N,Haier J,Buhr HJ

    更新日期：1998-01-01 00:00:00

  • The insulin-like growth factor system and colorectal cancer: clinical and experimental evidence.

    abstract：OBJECTIVE:The aim of this review is to clarify the involvement of the insulin-like growth factor (IGF) system in the development of colorectal malignancy. MATERIALS AND METHODS:Medline searches were used to identify key articles relating the IGF system with the development of colorectal cancer. RESULTS:The IGF system...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/s00384-005-0776-8

    authors： Davies M,Gupta S,Goldspink G,Winslet M

    更新日期：2006-04-01 00:00:00

  • Development of a clinical model to predict secondary non-response of infliximab treatment in Crohn's disease.

    abstract：PURPOSE:Secondary non-response to infliximab (IFX) in patients with Crohn's disease (CD) is so common that prediction of non-response is required to adopt the optimal therapy for an individual patient. METHODS:The clinical model was constructed in a training cohort. Clinical features, serological parameters, and genet...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03679-8

    authors： Xu L,Shen J,Zheng Q

    更新日期：2020-11-01 00:00:00

  • Meta-analysis: sacral nerve stimulation versus conservative therapy in the treatment of faecal incontinence.

    abstract：AIM:Sacral nerve stimulation (SNS) has recently been used in the management of faecal incontinence (FI). This study compared SNS to conservative management with regards to functional and quality of life outcomes. METHODS:Meta-analysis of studies published between 1995 and 2008 on SNS for FI was performed. Outcomes eva...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00384-010-1119-y

    authors： Tan E,Ngo NT,Darzi A,Shenouda M,Tekkis PP

    更新日期：2011-03-01 00:00:00

  • Rectal advancement flap for the treatment of complex cryptoglandular anal fistulas: a systematic review and meta-analysis.

    abstract：PURPOSE:Rectal advancement flap is an accepted approach for treating complex fistula-in-ano. However, a diversity of technical modifications have been described. The aim of this study was to evaluate recurrence and fecal continence rates after performing rectal advancement flaps depending upon flap thickness (full-thic...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00384-017-2779-7

    authors： Balciscueta Z,Uribe N,Balciscueta I,Andreu-Ballester JC,García-Granero E

    更新日期：2017-05-01 00:00:00

  • D3 lymph node dissection reduces recurrence after primary resection for elderly patients with colon cancer.

    abstract：PURPOSE:The favorable oncological impact of D3 lymph node dissection after colon cancer surgery has been described previously. However, D3 lymph node dissection is potentially more invasive than conventional D2 lymph node dissection. The oncological merit of D3 lymph node dissection in elderly patients with colon cance...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-018-03233-7

    authors： Numata M,Sawazaki S,Aoyama T,Tamagawa H,Sato T,Saeki H,Saigusa Y,Taguri M,Mushiake H,Oshima T,Yukawa N,Shiozawa M,Rino Y,Masuda M

    更新日期：2019-04-01 00:00:00

  • Endorectal ultrasound-directed biopsy: a useful technique to detect local recurrence of rectal cancer.

    abstract：AIMS:This study assesses the value of endorectal ultrasound (ERUS)-directed biopsy in detecting local recurrence of rectal cancer. METHODS:We reviewed the records of patients undergoing ERUS by a single surgeon for surveillance after treatment of rectal adenocarcinoma. Lesions suggestive of local recurrence underwent ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-005-0785-7

    authors： Morken JJ,Baxter NN,Madoff RD,Finne CO 3rd

    更新日期：2006-04-01 00:00:00

  • Expression of tight and adherens junction proteins in ulcerative colitis associated colorectal carcinoma: upregulation of claudin-1, claudin-3, claudin-4, and beta-catenin.

    abstract：BACKGROUND:Tight junction (TJ) proteins play a critical role in cellular adhesion, glandular differentiation, and cellular proliferation. The function of these proteins is compromised in a number of intestinal diseases, including ulcerative colitis that has an increased incidence for colorectal carcinoma (CAC). The aim...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0653-y

    authors： Mees ST,Mennigen R,Spieker T,Rijcken E,Senninger N,Haier J,Bruewer M

    更新日期：2009-04-01 00:00:00

  • Analysis of rectal dynamic and static compliances in patients with irritable bowel syndrome.

    abstract：AIMS:Our aim was to investigate whether the dynamic and static compliances differ between patients with irritable bowel syndrome (IBS) and normal subjects. MATERIALS AND METHODS:Fifty-five IBS patients (age range 20-65 years, mean age 39.0 years, 28 women and 27 men; 36 diarrhea-predominant IBS (IBS-D) patients and 19...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-008-0469-1

    authors： Park JH,Baek YH,Park DI,Kim HJ,Cho YK,Sohn CI,Jeon WK,Kim BI,Rhee PL

    更新日期：2008-07-01 00:00:00

  • Study protocol for a multicenter prospective controlled and randomized trial of transanal total mesorectal excision versus laparoscopic low anterior resection in rectal cancer.

    abstract：PURPOSE:Compared with the open approach, laparoscopic total mesorectal excision (TME) achieves faster patient recovery, reduces morbidity rates, and shortens hospital stay. However, in laparoscopic low anterior resection (L-LAR), conversion to open surgery is required in almost 20% of cases. Transanal TME (Ta-TME) comb...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00384-018-2996-8

    authors： Serra-Aracil X,Zárate A,Mora L,Serra-Pla S,Pallisera A,Bonfill J,Bargalló J,Pando A,Delgado S,Balleteros E,Pericay C

    更新日期：2018-05-01 00:00:00

  • Total caseload of a colorectal surgical unit: baseline measurement and identification of areas for efficiency gains.

    abstract：PURPOSE:Resource limitations are a concern in most modern public hospital systems. The aim of this study is to prospectively quantify the total caseload of a tertiary colorectal surgery unit to identify areas of redundancy. METHODS:Data was collected prospectively at all points of clinical care (outpatient clinic, inp...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-016-2556-z

    authors： Sammour T,Macleod A,Chittleborough TJ,Chandra R,Shedda SM,Hastie IA,Jones IT,Hayes IP

    更新日期：2016-06-01 00:00:00

  • Function of the striated anal sphincter during straining in control subjects and constipated patients with a radiologically normal rectum or idiopathic megacolon.

    abstract：:The function of the striated anal sphincter during defaecation straining was recorded by manometry and electromyography (E.M.G.) in 31 constipated patients who were unable to expel a water-filled rectal balloon with effort. This group was divided on the basis of measurement of colonic diameter into those with megacolo...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF01660715

    authors： Barnes PR,Lennard-Jones JE

    更新日期：1988-11-01 00:00:00

  • The electrically stimulated (dynamic) graciloplasty for faecal incontinence--first experiences with a modified muscle sling.

    abstract：:Continence following the gracilis stimulated neosphincter reconstruction after total rectal excision is inferior to that obtained in the presence of an intact anal canal. We describe a modification of the alpha loop in which the tendon is brought through the belly of the gracilis muscle. The results in three patients ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00292246

    authors： Rosen HR,Feil W,Novi G,Zöch G,Dahlberg S,Schiessel R

    更新日期：1994-01-01 00:00:00

  • Left-sided location is a risk factor for lymph node metastasis of T1 colorectal cancer: a single-center retrospective study.

    abstract：PURPOSE:Although some studies have reported differences in clinicopathological features between left- and right-sided advanced colorectal cancer (CRC), there are few reports regarding early-stage disease. In this study, we aimed to compare the clinicopathological features of left- and right-sided T1 CRC. METHODS:Subje...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03668-x

    authors： Mochizuki K,Kudo SE,Ichimasa K,Kouyama Y,Matsudaira S,Takashina Y,Maeda Y,Ishigaki T,Nakamura H,Toyoshima N,Mori Y,Misawa M,Ogata N,Kudo T,Hayashi T,Wakamura K,Sawada N,Ishida F,Miyachi H

    更新日期：2020-10-01 00:00:00

  • Time-saving polyp detection in colon capsule endoscopy: evaluation of a novel software algorithm.

    abstract：BACKGROUND:Colon capsule endoscopy (CCE) is a reliable method to detect colonic polyps in the well-prepared colon. As CCE evaluation can be time consuming, a new software algorithm might aid in reducing evaluation time. OBJECTIVES:The aim of the study was to evaluate whether it is feasible to reliably detect colon pol...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-019-03393-0

    authors： Hausmann J,Linke JP,Albert JG,Masseli J,Tal A,Kubesch A,Filmann N,Philipper M,Farnbacher M

    更新日期：2019-11-01 00:00:00