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Purpose: To investigate the efficacy and safety of the transanal tube (TAT) in preventing anastomotic leak (AL) in rectal cancer surgery.

Methods: Clinical data of the patients who underwent curative surgery for mid rectal cancer from February 2010 to February 2014 were reviewed retrospectively. Rectal cancers arising 5 to 10 cm above the anal verge were selected.

Patients were divided into the ileostomy, TAT, or no-protection groups. Postoperative complications including AL and postoperative course were compared.

Results: We included 137 patients: 67, 35, and 35 patients were included in the ileostomy, TAT, and no-protection groups, respectively. Operation time was longer in the ileostomy group (P = 0.029), and more estimated blood loss was observed (P = 0.018). AL occurred in 5 patients (7.5%) in the ileostomy group, 1 patients (2.9%) in the TAT group, and 6 patients (17.1%) in the no-protection group (P = 0.125). Patients in the ileostomy group resumed diet more than 1 day earlier than those in the other groups (P = 0.000). Patients in the no-protection group had about 1 or 2 days longer postoperative hospital stay (P = 0.048). The ileostomy group showed higher late complication rates than the other groups as complications associated with the stoma itself or repair operation developed (P = 0.019).

Conclusion: For mid rectal cancer surgery, the TAT supports anastomotic site protection and diverts ileostomy-related complications. Further large scale randomized controlled studies are needed to gain more evidence and expand the range of TAT usage

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Oncologic outcomes following metastasectomy in colorectal cancer patients developing distant metastases after initial treatment Seung Yeop Oh, Do Yoon Kim, Kwang Wook Suh pp.253-259
Comparative study between transanal tube and loop ileostomy in low anterior resection for mid rectal cancer : a retrospective single center trial Min-Ki Kim, Dae-Youn Won, Jin-Kwon Lee, Won-Kyung Kang, Jun-Gi Kim, Seong Taek Oh pp.260-268
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참고문헌 (29건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Do we really know why colorectal anastomoses leak? 네이버 미소장
2 Risk factors for anastomotic leakage after low anterior resection with total mesorectal excision 네이버 미소장
3 Impact of anastomotic leakage on long‐term survival of patients undergoing curative resection for colorectal cancer 네이버 미소장
4 Role of the surgeon as a variable in the treatment of rectal cancer. 네이버 미소장
5 Anastomotic leakage after curative anterior resection results in a higher prevalence of local recurrence colectomy (Br J Surg 2003; 90: 1261‐1266) 네이버 미소장
6 Locoregional recurrence in patients with anastomotic leakage after anterior resection for rectal carcinoma 네이버 미소장
7 Efforts to Improve Local Control in Rectal Cancer Compromise Survival by the Potential Morbidity of Optimal Mesorectal Excision 네이버 미소장
8 A Defunctioning Ileostomy Does Not Prevent Clinical Anastomotic Leak After a Low Anterior Resection: A Prospective, Comparative Study 네이버 미소장
9 Risk factors for anastomotic failure after total mesorectal excision of rectal cancer (Br J Surg 2005; 92: 211‐216) 네이버 미소장
10 Loop ileostomy versus loop colostomy for defunctioning low anastomoses during rectal cancer surgery. 네이버 미소장
11 Definition and grading of anastomotic leakage following anterior resection of the rectum: A proposal by the International Study Group of Rectal Cancer 네이버 미소장
12 Anastomotic leakage and functional outcome after anterior resection of the rectum 네이버 미소장
13 Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer 네이버 미소장
14 Predicting risk and diminishing the consequences of anastomotic dehiscence following rectal resection 네이버 미소장
15 Acute side effects and complications after short-term preoperative radiotherapy combined with total mesorectal excision in primary rectal cancer: report of a multicenter randomized trial. 네이버 미소장
16 Risk factors for anastomotic leak following colorectal surgery: a case-control study. 네이버 미소장
17 Pelvic Drainage and Other Risk Factors for Leakage After Anterior Resection in Rectal Cancer Patients 네이버 미소장
18 Risk Factors For Surgical Site Infection After Elective Resection of the Colon and Rectum: A Single-Center Prospective Study of 2,809 Consecutive Patients 네이버 미소장
19 Risk factors for anastomotic leakage after laparoscopic low anterior resection with DST anastomosis 네이버 미소장
20 Risk factors for anastomotic leakage after resection for rectal cancer 네이버 미소장
21 Yang Q., Tang C., Qi X., Yi G., Xu L. Mitigating the consequences of anastomotic leakage after laparoscopic rectal cancer resection: is it achievable by a simple method? Surg Innov 2014 Jun 5 [Epub]. http://dx.doi.org /10.1177/ 1553350614537561. 미소장
22 Indwelling trans‐anastomotic rectal tubes in colorectal surgery: a survey of usage in UK and Ireland 네이버 미소장
23 Can intraluminal devices prevent or reduce colorectal anastomotic leakage: a review. 네이버 미소장
24 Influencing factors of symptomatic anastomotic leakage after anterior resection of the rectum for cancer. 네이버 미소장
25 Can transanal tube placement after anterior resection for rectal carcinoma reduce anastomotic leakage rate? A single-institution prospective randomized study. 네이버 미소장
26 Use of a transanal drainage tube for prevention of anastomotic leakage and bleeding after anterior resection for rectal cancer. 네이버 미소장
27 Effectiveness of a transanal tube for the prevention of anastomotic leakage after rectal cancer surgery. 네이버 미소장
28 Efficacy of transanal tube for prevention of anastomotic leakage following laparoscopic low anterior resection for rectal cancers: a retrospective cohort study in a single institution 네이버 미소장
29 Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery 네이버 미소장

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