An Investigation of the Validity of the Criteria for Non-construction of Defunctioning Stoma in Patients with TaTME
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- Enomoto Hiroya
- Department of Surgery, The Jikei University Daisan Hospital
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- Suwa Katsuhito
- Department of Surgery, The Jikei University Daisan Hospital
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- Yamasawa Kaito
- Department of Surgery, The Jikei University Daisan Hospital
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- Kitagawa Takahiro
- Department of Surgery, The Jikei University Daisan Hospital
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- Ushigome Takuro
- Department of Surgery, The Jikei University Daisan Hospital
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- Okamoto Tomoyoshi
- Department of Surgery, The Jikei University Daisan Hospital
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- Eto Ken
- Department of Surgery, The Jikei University School of Medicine
Bibliographic Information
- Other Title
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- TaTME症例におけるdefunctioning stoma非造設基準の妥当性の検討
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Abstract
<p>Purpose: The aim of this study was to evaluate the criteria for non-construction of defunctioning stoma (DS) in patients who underwent transanal total mesorectal excision (TaTME).</p><p>Methods: This was a retrospective study that reviewed patients whose anastomoses were created with a stapler after TaTME for low rectal tumors. The criteria we established for non-construction of DS were a complete donut and negative air leakage test. Sixteen handsewn stiches were added to all round the stapler line to reinforce the anastomosis. The primary endpoint of this study was anastomotic leakage.</p><p>Results: Thirty patients met the inclusion criteria; 25 patients had primary cancer, 3 had neuroendocrine tumor, and 2 had anastomotic recurrence. DS was created in five patients. One of them developed anastomotic leakage, but improved following transanal drainage. DS was not created in 25 (83.3%) patients and anastomotic leakage was observed in two of them. Both cases were male, diabetic, and the onset was later than the 7th postoperative day.</p><p>Conclusion: Our criteria for non-construction of DS resulted in two (2/25, 8%) cases of anastomotic leakage. The establishment of stricter criteria and improvement of anastomosis and reinforcement methods are warranted.</p>
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 77 (2), 84-88, 2024
The Japan Society of Coloproctology
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Keywords
Details 詳細情報について
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- CRID
- 1390298919731011328
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed