四川医学2011，Vol.32Issue(6)：835-838,4.
低位直肠癌保肛术后吻合口瘘危险因素分析
Analysis of risk factors of anastomotic leakage after anterior resection for low rectal cancer
徐尔侃 1华汉巨 2李念 1黄雄 1皮健1
作者信息
- 1. 成都市第二人民医院普外科,四川,成都,610017
- 2. 浙江大学医学院附属第一医院肛肠外科,浙江,杭州,310003
- 折叠
摘要
Abstract
Objective To analyze the risk factors of anastomotic leakage after anterior resection for low rectal cancer.Methods The clinical data of 155 low rectal cancer patients , undergone sphincter preserving procedures from 2005 to 2007 , werereviewed. Results The overall rate of anastomotic leakage was 7. 7％ ( 12 of 155 patients) . The rate of leakage was significantlyhigher for tumor situated less than 5cm from the anal verge than for those situated less than 7 cm(6 ～ 7cm) ( 16. 67 versus 2. 67 per cent;P ＜ 0. 05 ) . There were no statistical differences in leakage rates for gender, age , cardiovascular or lung disease , diabetes mellitus, preoperative albumin levels, the type of operation , operation time , single or double stapling technique, rectal perimeter of tumor encroachment, distance of the anastomosis from the anal verge ,distance of the inferior incisal edge from turuor.encroachmentof serosa, general or histological type of tumor,lymphoid or distant metastasis and the Dukes staging. Logistic regression analysis of the data showed that distance of tumor from the anal verge was the risk factor for development of anastomotic leakage. Conclusion Distance of tumor from the anal verge was the independent risk factor for development of anastomotic leakage after anterior resection for low rectal cancer.关键词
直肠肿瘤/保留肛门括约肌手术/吻合口瘘Key words
rectal neoplasm / sphincter preserving surgery / anastomotic leakage分类
医药卫生引用本文复制引用
徐尔侃,华汉巨,李念,黄雄,皮健..低位直肠癌保肛术后吻合口瘘危险因素分析[J].四川医学,2011,32(6):835-838,4.
