An Investigation of the Validity of the Criteria for Non-construction of Defunctioning Stoma in Patients with TaTME

DOI Web Site 13 References

Bibliographic Information

Other Title
  • TaTME症例におけるdefunctioning stoma非造設基準の妥当性の検討

Search this article

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

References(13)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top