Evidence map›Paper›PMID 39587181›Full record

ArticleScientific reports2024

Suspension and suturing technique can reduce the incidence of anastomotic leakage after rectal cancer excision: a single, prospective, cohort study.

Wei Ge, Li-Hua Shao, Gang Chen, Yu-Dong Qiu

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In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Wei GeDepartment of General Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, People's Republic of China.
Li-Hua ShaoDepartment of General Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, People's Republic of China.
Gang ChenDepartment of General Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, People's Republic of China. 331812195@qq.com.
Yu-Dong QiuDepartment of General Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, People's Republic of China. yudongqiu510@163.com.

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2021-LCYJ-MS-14 and 2021-LCYJ-PY-39
6 · The paper itself

Abstract

To evaluate the value of suspension and suturing technique in the prevention of anastomotic leakage of rectal cancer following double stapling technique. We performed a cohort study between August 2018 and December 2021 and analyzed the patients with rectal cancer underwent radical resection and double stapling technique at the department of general surgery. 324 patients were recruited in this research. There were 124 patients in control group and 200 patients in study group. There was a total of 19 patients present with anastomotic leakage. The incidence of anastomotic leakage was 5.8%. 12 patients were in control group and 7 in study group. The incidence of anastomotic leakage in control group was 9.7%. while the incidence of anastomotic leakage in study group was 3.5%, which was significantly lower than that in control group (p = 0.021). There were 4 patients present with anastomotic bleeding in control group (3.2%) while there were 6 cases with anastomotic bleeding in study group (3%) with no statistical differences. The average operation time of patients with anastomotic leakage was longer than that of patients without anastomotic leakage (p = 0.048). The intraoperative blood loss of patients with anastomotic leakage was more (p = 0.003) and the proportion of diabetes in anastomotic leakage group was larger (p = 0.003). Suspension and suturing technique could reduce the incidence of anastomotic leakage of patients with rectal cancer underwent double stapling technique. It is safe, simple, and easy to perform. Operation time, intraoperative blood loss, and diabetes may be high-risk factors of anastomotic leakage.

Indexed as

Anastomotic LeakRectal NeoplasmsSuture TechniquesAdultAgedAnastomosis, SurgicalFemaleHumansIncidenceMaleMiddle AgedOperative TimeProspective StudiesSurgical StaplingAnastomotic leakage“Cat ears”Double stapling techniqueRectal cancerSuspension and suturing technique

Identifiers

PMID39587181
PMCPMC11589827

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.