ArticleWorld journal of gastrointestinal surgery2020
Narrow pelvic inlet plane area and obesity as risk factors for anastomotic leakage after intersphincteric resection.
Article in World journal of gastrointestinal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Resection quality and oncologic outcomes after robotic versus laparoscopic total mesorectal excision for mid and low rectal cancer: a systematic review and meta-analysis of randomised trials.Journal of robotic surgery · 2026Pooled it
- Clinical efficacy of anastomotic reinforcement suture in preventing anastomotic leakage after rectal cancer surgery: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Sex differences in the risk profiles for anastomotic leakage following surgery for rectal cancer.Surgery today · 2026Article
- Anastomotic reinforcement in rectal surgery: a position statement from an expert panel of colorectal surgeons.Updates in surgery · 2026Article
- Machine learning model for predicting a high comprehensive complication index following rectal cancer surgery.Updates in surgery · 2026Article
- Impact of low anterior resection syndrome after rectal surgery on sleep quality.Surgery today · 2025Article
- Reducing AL After Double-Stapling Anastomosis: A Novel Laparoscopic Technique for Dog Ear Area Resection.Journal of gastrointestinal cancer · 2025Article
- Simple pelvimetry predicts the pelvic manipulation time in robot-assisted low and ultra-low anterior resection for rectal cancer.Surgery today · 2024Article
- Blood perfusion assessment by near-infrared fluorescence angiography of epiploic appendages in prevention of anastomotic leakage after laparoscopic intersphincteric resection for ultra-low rectal cancer: a case-matched study.Surgical endoscopy · 2024Article
- The impact of transanal drainage tube on the incidence of anastomotic leakage and small bowel obstruction in radical surgery (Dixon) for rectal cancer: a retrospective cohort study.Journal of gastrointestinal oncology · 2024Article
- What affects the selection of diverting ileostomy in rectal cancer surgery: a single-center retrospective study.BMC surgery · 2024Article
- Does anastomotic leakage after intersphincteric resection for ultralow rectal cancer influence long-term outcomes? A retrospective observational study.Langenbeck's archives of surgery · 2023Observational
- An innovative and convenient technique to reduce anastomotic leakage after double stapling anastomosis: laparoscopic demucositized suture the overlapping point of the "dog ear" area.Updates in surgery · 2022Article
- Transanal total mesorectal excision and transabdominal robotic surgery for rectal cancer: A retrospective study.Annals of medicine and surgery (2012) · 2021Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntersphincteric resection (ISR) has been increasingly used as the ultimate sphincter-preserving procedure in extremely low rectal cancer. The most critical complication of this technique is anastomotic leakage. The incidence rate of anastomotic leakage after ISR has been reported to range from 5.1% to 20%.
aimTo investigate risk factors for anastomotic leakage after ISR based on clinicopathological variables and pelvimetry.
methodsThis study was conducted at Department of Colorectal Surgery, Japanese Red Cross Medical Center, Tokyo, Japan, with a total of 117 patients. We enrolled 117 patients with extremely low rectal cancer who underwent laparotomic and laparoscopic ISRs at our hospital. We conducted retrospective univariate and multivariate regression analyses on 33 items to elucidate the risk factors for anastomotic leakage after ISR. Pelvic dimensions were measured using three-dimensional reconstruction of computed tomography images. The optimal cutoff value of the pelvic inlet plane area that predicts anastomotic leakage was determined using a receiver operating characteristic (ROC) curve.
resultsWe observed anastomotic leakage in 10 (8.5%) of the 117 patients. In the multivariate analysis, we identified high body mass index (odds ratio 1.674; 95% confidence interval: 1.087-2.58;
conclusionNarrow pelvic inlet and obesity were independent risk factors for anastomotic leakage after ISR. Anastomotic leakage after ISR may be predicted from a narrow pelvic inlet plane area (≤ 10074 mm
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