직장암의 복강경직장절제술 후 발생되는 문합부누출의 위험요소: 복강경직장절제술은 문합부누출을 높이는가?
Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection in Rectal Cancer: Does Laparoscopic Rectal Resection Increase Anastomotic Leakage Rate?
이호석, 김민권, 박창균, 조유진, 황덕원, 노상익,
소속 상세정보
이호석 ( Lee Ho-Suk )
서울보훈병원 외과
김민권 ( Kim Min-Ghwon )
서울보훈병원 외과
박창균 ( Park Chang-Kyun )
서울보훈병원 외과
조유진 ( Cho Yoo-Jin )
서울보훈병원 외과
황덕원 ( Hwang Duk-Won )
서울보훈병원 외과
노상익 ( Noh Sang-Ik )
서울보훈병원 외과
KMID : 0356720070230020101
Abstract
Purpose: The purpose of this study is to evaluate the risk factors for clinical anastomotic leakage after laparoscopic resection for rectal cancer.
Methods: From March 2001 and February 2006 in Seoul Veterans’ Hospital, the prospective laparoscopic colorectal resection database identified 101 patients who a had laparoscopic rectal resection with colorectal or coloanal anastomosis. The associations between clinical anastomotic leakage and patient-, tumor-, surgery- and laparoscopic-related variables were studied.
Results: The rate of clinical anastomotic leakage was 4 percent (4 of 101). The patient-related variable significantly associated with clinical anastomotic leakage was preoperative radiotherapy. The surgery-related factor that turned out to be significant was anastomosis situated less than 5 cm from the anal verge. No tumor- or laparoscopic-related variables were significantly associated with clinical anastomotic leakage.
Conclusion: A protective ileostomy should be considered after a laparoscopic rectal resection for an rectal cancer for anastomosis situated less than 5 cm from the anal verge, particularly when preoperative radiotherapy is being used. J Korean Soc Coloproctol 2007;23:101-109
키워드
복강경직장절제술;문합부누출
Laparoscopic rectal resection;Anastomotic leakage
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