Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME
Background: Several studies have shown that there are no significant differences in anastomotic leakage associated with Transanal total mesorectal excision (taTME) versus laparoscopic TME (lapTME) for rectal cancer; however, little is known about late anastomotic leakage, such as that primarily foun...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958421006813 |
| _version_ | 1811206281523888128 |
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| author | Han Beol Jang Sang-Bum Kang Hyein Lee Byung Jo Choi Sang Chul Lee |
| author_facet | Han Beol Jang Sang-Bum Kang Hyein Lee Byung Jo Choi Sang Chul Lee |
| author_sort | Han Beol Jang |
| collection | DOAJ |
| description | Background: Several studies have shown that there are no significant differences in anastomotic leakage associated with Transanal total mesorectal excision (taTME) versus laparoscopic TME (lapTME) for rectal cancer; however, little is known about late anastomotic leakage, such as that primarily found in the chronic presacral sinus. We aimed to compare the occurrence of anastomotic leakage and chronic presacral sinus in rectal cancer for taTME and lapTME. Methods: In this retrospective cohort study, data were collected for patients with rectal cancer who underwent surgery between January 2009 and September 2019. Of the 220 patients included in this study, 182 were in the lapTME group and 38 in the taTME group. We compared factors associated with anastomotic leakage and chronic presacral sinus formation between the two groups. A binary-logistic model was used to determine the risk factors for chronic presacral sinus. Results: Anastomotic leakage occurred in six patients (15.8%) in the taTME group and 36 patients (19.7%) in the lapTME group. Chronic presacral sinus occurred in three patients (7.9%) in the taTME group and 15 patients (8.2%) in the lapTME group. There was no significant difference in anastomotic leakage or chronic presacral sinus between groups (P = 0.569 and P = 1.000, respectively). Pathologic stage III or higher was significantly associated with chronic presacral sinus formation (P = 0.006). Conclusion: There were no significant differences between taTME and lapTME regarding the incidence of anastomotic leakage or chronic presacral sinus. Almost one-third of anastomotic leakages developed into chronic presacral sinus. |
| first_indexed | 2024-04-12T03:46:13Z |
| format | Article |
| id | doaj.art-466478225248445295287c48c5f456c1 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-04-12T03:46:13Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-466478225248445295287c48c5f456c12022-12-22T03:49:08ZengElsevierAsian Journal of Surgery1015-95842022-11-01451121972202Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TMEHan Beol Jang0Sang-Bum Kang1Hyein Lee2Byung Jo Choi3Sang Chul Lee4Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, South KoreaDepartment of Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea; Corresponding author. Department of Surgery, College of Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon, 301-723, Republic of Korea.Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea; Corresponding author. Department of Colorectal Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, Republic of Korea.Background: Several studies have shown that there are no significant differences in anastomotic leakage associated with Transanal total mesorectal excision (taTME) versus laparoscopic TME (lapTME) for rectal cancer; however, little is known about late anastomotic leakage, such as that primarily found in the chronic presacral sinus. We aimed to compare the occurrence of anastomotic leakage and chronic presacral sinus in rectal cancer for taTME and lapTME. Methods: In this retrospective cohort study, data were collected for patients with rectal cancer who underwent surgery between January 2009 and September 2019. Of the 220 patients included in this study, 182 were in the lapTME group and 38 in the taTME group. We compared factors associated with anastomotic leakage and chronic presacral sinus formation between the two groups. A binary-logistic model was used to determine the risk factors for chronic presacral sinus. Results: Anastomotic leakage occurred in six patients (15.8%) in the taTME group and 36 patients (19.7%) in the lapTME group. Chronic presacral sinus occurred in three patients (7.9%) in the taTME group and 15 patients (8.2%) in the lapTME group. There was no significant difference in anastomotic leakage or chronic presacral sinus between groups (P = 0.569 and P = 1.000, respectively). Pathologic stage III or higher was significantly associated with chronic presacral sinus formation (P = 0.006). Conclusion: There were no significant differences between taTME and lapTME regarding the incidence of anastomotic leakage or chronic presacral sinus. Almost one-third of anastomotic leakages developed into chronic presacral sinus.http://www.sciencedirect.com/science/article/pii/S1015958421006813Anastomotic leakageChronic presacral sinusLaparoscopic total mesorectal excisionTransanal total mesorectal excision |
| spellingShingle | Han Beol Jang Sang-Bum Kang Hyein Lee Byung Jo Choi Sang Chul Lee Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME Asian Journal of Surgery Anastomotic leakage Chronic presacral sinus Laparoscopic total mesorectal excision Transanal total mesorectal excision |
| title | Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME |
| title_full | Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME |
| title_fullStr | Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME |
| title_full_unstemmed | Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME |
| title_short | Anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision (taTME) for rectal cancer: A comparative study to laparoscopic TME |
| title_sort | anastomotic leakage and chronic presacral sinus after transanal total mesorectal excision tatme for rectal cancer a comparative study to laparoscopic tme |
| topic | Anastomotic leakage Chronic presacral sinus Laparoscopic total mesorectal excision Transanal total mesorectal excision |
| url | http://www.sciencedirect.com/science/article/pii/S1015958421006813 |
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