ArticleInternational journal of colorectal disease2008
Evaluation of selective defunctioning stoma after low anterior resection for rectal cancer.
Article in International journal of colorectal disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 7 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 7 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Prophylactic transanal decompression tube versus non-prophylactic transanal decompression tube for anastomotic leakage prevention in low anterior resection for rectal cancer: a meta-analysis.Surgical endoscopy · 2017Pooled it
- Clinical risk factors for anastomotic leakage after laparoscopic anterior resection for rectal cancer: a systematic review and meta-analysis.Surgical endoscopy · 2015Pooled it
- Hand suture versus stapler for closure of loop ileostomy--a systematic review and meta-analysis of randomized controlled trials.Langenbeck's archives of surgery · 2015Pooled it
- Meta-analysis of defunctioning stoma in low anterior resection with total mesorectal excision for rectal cancer: evidence based on thirteen studies.World journal of surgical oncology · 2015Pooled it
- Role of protective stoma in low anterior resection for rectal cancer: a meta-analysis.World journal of gastroenterology · 2014Pooled it
- Pooled it
- Covering ileo- or colostomy in anterior resection for rectal carcinoma.The Cochrane database of systematic reviews · 2010Pooled it
- Can transanal tube placement after anterior resection for rectal carcinoma reduce anastomotic leakage rate? A single-institution prospective randomized study.World journal of surgery · 2011Trial
- ETVARD (endoscopic transanal vacuum-assisted rectal drainage) leads to complete but delayed closure of extraperitoneal rectal anastomotic leakage cavities following neoadjuvant radiochemotherapy.International journal of colorectal disease · 2009Trial
- Preoperative stool scale is a risk factor for anastomotic leakage after minimally invasive low anterior resection for rectal cancer.Surgery today · 2026Article
- Could Stoma Be Avoided after Laparoscopic Low Anterior Resection for Rectal Cancer? Experience with Transanal Tube in 195 Cases.Journal of clinical medicine · 2022Article
- Risk factors for peristomal skin disorders associated with temporary ileostomy construction.Surgery today · 2021Article
- Who needs diverting ileostomy following laparoscopic low anterior resection in rectal cancer patients? Analysis of 417 patients in a single institute.Surgical endoscopy · 2020Article
- Latest Advances in Intersphincteric Resection for Low Rectal Cancer.Gastroenterology research and practice · 2020Review
- Preoperative, intraoperative and postoperative risk factors for anastomotic leakage after laparoscopic low anterior resection with double stapling technique anastomosis.World journal of gastroenterology · 2016Review
- Low or Ultralow Anterior Resection of Rectal Cancer Without Diverting Stoma: Experience with 28 Patients.The Indian journal of surgery · 2015Article
- Optimal Treatment Strategy in Rectal Cancer Surgery: Should We Be Cowboys or Chickens?Annals of surgical oncology · 2015Article
- Diverting stoma with anterior resection for rectal cancer: does it reduce overall anastomotic leakage and leaks requiring laparotomy?International journal of clinical and experimental medicine · 2015Article
- Risk factors for anastomotic leakage after laparoscopic low anterior resection with DST anastomosis.Surgical endoscopy · 2014Article
- High 1-year complication rate after anterior resection for rectal cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnastomotic leakage is a major concern after resection for low rectal cancer. Therefore, the use of a defunctioning stoma (DS) has been suggested, but limited data exist to clearly determine the necessity of a routine diversion. In our department, the indication of DS was evaluated subjectively by the operating surgeon. The aim of this study was to evaluate the selective use of fecal diversion. MATERIALS AND
methodsRetrospective chart review of patients who underwent low anterior resection for carcinoma was performed. The incidence and consequences of clinical leaks were determined in these patients who were considered in two groups: defunctioning stoma and no defunctioning stoma.
resultsFrom 1995 to 2005, 132 consecutive patients underwent low anterior resection; a DS was performed in 42 patients (31.8%). Median level of anastomosis was 4 cm in both groups. Overall clinical leakage rate was 9.8%: 7.1% (n = 3) with a DS and 11% (n = 10) without a stoma. Mortality rate was 1.5% (n = 2), both in the unprotected group. No patient in the diversion group required a permanent stoma, contrasting with four unprotected patients in which continuity could not be restored after break down of the anastomosis.
conclusionFinding lower clinical leakage rate in a probable higher risk group and better outcome when a leak occurs in our study constituted strong evidence of the effectiveness of a DS. Selective use of a DS based on subjective assessment at the time of surgery could not allow experienced surgeons to perform single-stage procedure safely. Construction of a DS seems useful for patients with distal rectal cancer.
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