ArticleWorld journal of surgical oncology2021
Rectal washout does not increase the complication risk after anterior resection for rectal cancer.
Article in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis.World journal of surgical oncology · 2021Pooled it
- Can neoadjuvant chemoradiotherapy affect exfoliated cancer cells in colorectal cancer?BMC surgery · 2024Article
- Impact of rectal washout in local recurrence: a meta-analysis and systemic review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- Impact of rectal washout on recurrence and survival after anterior resection for rectal cancer.BJS open · 2022Article
- Nomogram to predict postoperative infectious complications after surgery for colorectal cancer: a retrospective cohort study in China.World journal of surgical oncology · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo reduce local recurrence risk, rectal washout (RW) is integrated in the total mesorectal excision (TME) technique when performing anterior resection (AR) for rectal cancer. Although RW is considered a safe practice, data on the complication risk are scarce. Our aim was to examine the association between RW and 30-day postoperative complications after AR for rectal cancer.
methodsPatients from the Swedish Colorectal Cancer Registry who underwent AR between 2007 and 2013 were analysed using multivariable methods.
resultsA total of 4821 patients were included (4317 RW, 504 no RW). The RW group had lower rates of overall complications (1578/4317 (37%) vs. 208/504 (41%), p = 0.039), surgical complications (879/4317 (20%) vs. 140/504 (28%), p < 0.001) and 30-day mortality (50/4317 (1.2%) vs. 12/504 (2.4%), p = 0.020). In multivariable analysis, RW was a risk factor neither for overall complications (OR 0.73, 95% CI 0.60-0.90, p = 0.002) nor for surgical complications (OR 0.62, 95% CI 0.50-0.78, p < 0.001).
conclusionsRW is a safe technique that does not increase the 30-day postoperative complication risk after AR with TME technique for rectal cancer.
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