The American Journal of Surgery
Volume 199, Issue 6 , Pages 753-758 , June 2010

Standardized pelvic drainage of anastomotic leaks following anterior resection without diversional stomas

  • Junjie Peng, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • ,
  • Jiade Lu, M.D.

      Affiliations

    • Department of Radiation Oncology, National University Hospital, Singapore, Singapore
    • ,
  • Ye Xu, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • ,
  • Zuqing Guan, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • ,
  • Minghe Wang, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • ,
  • Guoxiang Cai, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • ,
  • Sanjun Cai, M.D.

      Affiliations

    • Department of Colorectal Surgery, Cancer Hospital of Fudan University, Shanghai, China
    • Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
    • Corresponding Author InformationCorresponding author: Tel.: 86-21-64175590; fax: 86-21-64035387

Received 28 October 2008 ,Revised 14 March 2009

References 

  1. Rullier E, Laurent C, Garrelon JL, et al. Risk factors for anastomotic leakage after resection of rectal cancer. Br J Surg. 1998;85:355–358
  2. Nesbakken A, Nygaard K, Lunde OC. Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer. Br J Surg. 2001;88:400–404
  3. Karanjia ND, Corder AP, Bearn P, et al. Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum. Br J Surg. 1994;81:1224–1226
  4. Carlsen E, Schlichting E, Guldvog I, et al. Effect of the introduction of total mesorectal excision for the treatment of rectal cancer. Br J Surg. 1998;85:526–529
  5. Moran B, Heald R. Anastomotic leakage after colorectal anastomosis. Semin Surg Oncol. 2000;18:244–248
  6. Dehni N, Schlegel RD, Cunningham C, et al. Influence of a defunctioning stoma on leakage rates after low colorectal anastomosis and colonic J pouch-anal anastomosis. Br J Surg. 1998;85:1114–1117
  7. Gastinger I, Marusch F, Steinert R, et al. Protective defunctioning stoma in low anterior resection for rectal carcinoma. Br J Surg. 2005;92:1137–1142
  8. Den Dulk M, Smit M, Peeters KC, et al. A multivariate analysis of limiting factors for stoma reversal in patients with rectal cancer entered into the total mesorectal excision (TME) trial: a retrospective study. Lancet Oncol. 2007;8:297–303
  9. Gooszen A, Geelkerken R, Hermans J, et al. Temporary decompression after colorectal surgery: randomized comparison of loop ileostomy and loop colostomy. Br J Surg. 1998;85:76–79
  10. Kairaluoma M, Rissanen H, Kultti V, et al. Outcome of temporary stomas (A prospective study of temporary intestinal stomas constructed between 1989 and 1996). Dig Surg. 2002;19:45–51
  11. Mealy K, Burke P, Hyland J. Anterior resection without a defunctioning colostomy: questions of safety. Br J Surg. 1992;79:305–307
  12. Merad F, Hay JM, Fingerhut A, et al. Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis? A multicenter controlled randomized trial (French Association for Surgical Research). Surgery. 1999;125:529–535
  13. Nesbakken A, Nygaard K, Lunde OC, et al. Anastomotic leak following mesorectal excision for rectal cancer: true incidence and diagnostic challenges. Colorectal Dis. 2005;7:576–581
  14. Eckmann C, Kujath P, Schiedeck TH, et al. Anastomotic leakage following low anterior resection: results of a standardized diagnostic and therapeutic approach. Int J Colorectal Dis. 2004;19:128–133
  15. Eriksen MT, Wibe A, Norstein J, et al. Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients. Colorectal Dis. 2005;7:51–57
  16. Matthiessen P, Hallbook O, Rutegard J, et al. Population-based study of risk factors for postoperative death after anterior resection of the rectum. Br J Surg. 2006;93:498–503
  17. Karanjia ND, Corder AP, Holdsworth PJ, et al. Risk of peritonitis and fatal septicaemia and the need to defunction the low anastomosis. Br J Surg. 1991;78:196–198
  18. Shellito P. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–1572
  19. Camilleri-Brennan J, Steele R. Prospective analysis of quality of life after reversal of a defunctioning loop ileostomy. Colorectal Dis. 2002;4:167–171
  20. Remzi FH, Fazio VW, Gorgun E, et al. The outcome after restorative proctocolectomy with or without defunctioning ileostomy. Dis Colon Rectum. 2006;49:470–477
  21. Mealy K, O'Broin E, Donohue J, et al. Reversible colostomy–what is the outcome?. Dis Colon Rectum. 1996;39:1227–1231
  22. Koperna T, Heald RJ. Cost-effectiveness of defunctioning stomas in low anterior resections for rectal cancer: a call for benchmarking. Arch Surg. 2003;138:1334–1339
  23. Jatzko GR, Lisborg PH, Wette VM. Extraperitonealization of the anastomosis and sacral drain in restorative surgery for rectal carcinoma: a safety mechanism in the absence of a covering stoma. Surg Today. 1996;26:591–596
  24. Vignali A, Fazio VW, Lavery IC, et al. Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients. J Am Coll Surg. 1997;185:105–113
  25. Sagar P, Hartley M, Macfie J, et al. Randomized trial of pelvic drainage after rectal resection. Dis Colon Rectum. 1995;38:254–258
  26. Yeh CY, Changchien CR, Wang JY, et al. Pelvic drainage and other risk factors for leakage after elective anterior resection in rectal cancer patients: a prospective study of 978 patients. Ann Surg. 2005;241:9–13
  27. Moran BJ, Heald RJ. Risk factors for, and management of anastomotic leakage in rectal surgery. Colorectal Dis. 2001;3:135–137
  28. Watson AJ, Krukowski ZH, Munro A. Salvage of large bowel anastomotic leaks. Br J Surg. 1999;86:499–500

PII: S0002-9610(09)00414-0

doi: 10.1016/j.amjsurg.2009.03.026

The American Journal of Surgery
Volume 199, Issue 6 , Pages 753-758 , June 2010

Article Tools