Transanal drainage tube placement to prevent anastomotic leakage following colorectal cancer surgery with double stapling reconstruction

Mutsuhito Matsuda, Masashi Tsuruta, Hirotoshi Hasegawa, Koji Okabayashi, Takayuki Kondo, Takehiro Shimada, Masashi Yahagi, Yusuke Yoshikawa, Yuukou Kitagawa

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling technique reconstruction (DST). Methods: The subjects of this study were 179 patients who underwent curative resection and DST reconstruction for sigmoid colon and rectal cancer in our institution between 2008 and 2013. We analyzed the effectiveness of the TDT for preventing AL. Results: A TDT was placed in 78 patients (43.6 %, TDT group) and not placed in the remaining 101 patients (56.4 %, NTDT group). AL developed in 2 (2.6 %) patients from the TDT group and in 14 (13.9 %) patients from the NTDT group (p = 0.009). Univariate analysis revealed that AL was significantly correlated with tumor distance from the anal verge (AV), the number of staples, and TDT placement. Multivariate analysis revealed a significantly positive correlation between AL and AV [OR 0.877 (0.783–0.982) p = 0.023] and a significantly negative correlation between AL and TDT placement [OR 0.07 (0.013–0.374) p = 0.002]. Conclusions: Anastomotic decompression with TDT placement may prevent AL after colorectal cancer surgery with DST reconstruction.

Original languageEnglish
JournalSurgery Today
DOIs
Publication statusAccepted/In press - 2015 Aug 1

Fingerprint

Colorectal Surgery
Anastomotic Leak
Drainage
Colorectal Neoplasms
Decompression
Sigmoid Neoplasms
Rectal Neoplasms
Multivariate Analysis

Keywords

  • Anastomotic leakage
  • Colorectal cancer
  • Transanal drainage tube

ASJC Scopus subject areas

  • Surgery

Cite this

Transanal drainage tube placement to prevent anastomotic leakage following colorectal cancer surgery with double stapling reconstruction. / Matsuda, Mutsuhito; Tsuruta, Masashi; Hasegawa, Hirotoshi; Okabayashi, Koji; Kondo, Takayuki; Shimada, Takehiro; Yahagi, Masashi; Yoshikawa, Yusuke; Kitagawa, Yuukou.

In: Surgery Today, 01.08.2015.

Research output: Contribution to journalArticle

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abstract = "Purpose: Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling technique reconstruction (DST). Methods: The subjects of this study were 179 patients who underwent curative resection and DST reconstruction for sigmoid colon and rectal cancer in our institution between 2008 and 2013. We analyzed the effectiveness of the TDT for preventing AL. Results: A TDT was placed in 78 patients (43.6 {\%}, TDT group) and not placed in the remaining 101 patients (56.4 {\%}, NTDT group). AL developed in 2 (2.6 {\%}) patients from the TDT group and in 14 (13.9 {\%}) patients from the NTDT group (p = 0.009). Univariate analysis revealed that AL was significantly correlated with tumor distance from the anal verge (AV), the number of staples, and TDT placement. Multivariate analysis revealed a significantly positive correlation between AL and AV [OR 0.877 (0.783–0.982) p = 0.023] and a significantly negative correlation between AL and TDT placement [OR 0.07 (0.013–0.374) p = 0.002]. Conclusions: Anastomotic decompression with TDT placement may prevent AL after colorectal cancer surgery with DST reconstruction.",
keywords = "Anastomotic leakage, Colorectal cancer, Transanal drainage tube",
author = "Mutsuhito Matsuda and Masashi Tsuruta and Hirotoshi Hasegawa and Koji Okabayashi and Takayuki Kondo and Takehiro Shimada and Masashi Yahagi and Yusuke Yoshikawa and Yuukou Kitagawa",
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AU - Matsuda, Mutsuhito

AU - Tsuruta, Masashi

AU - Hasegawa, Hirotoshi

AU - Okabayashi, Koji

AU - Kondo, Takayuki

AU - Shimada, Takehiro

AU - Yahagi, Masashi

AU - Yoshikawa, Yusuke

AU - Kitagawa, Yuukou

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N2 - Purpose: Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling technique reconstruction (DST). Methods: The subjects of this study were 179 patients who underwent curative resection and DST reconstruction for sigmoid colon and rectal cancer in our institution between 2008 and 2013. We analyzed the effectiveness of the TDT for preventing AL. Results: A TDT was placed in 78 patients (43.6 %, TDT group) and not placed in the remaining 101 patients (56.4 %, NTDT group). AL developed in 2 (2.6 %) patients from the TDT group and in 14 (13.9 %) patients from the NTDT group (p = 0.009). Univariate analysis revealed that AL was significantly correlated with tumor distance from the anal verge (AV), the number of staples, and TDT placement. Multivariate analysis revealed a significantly positive correlation between AL and AV [OR 0.877 (0.783–0.982) p = 0.023] and a significantly negative correlation between AL and TDT placement [OR 0.07 (0.013–0.374) p = 0.002]. Conclusions: Anastomotic decompression with TDT placement may prevent AL after colorectal cancer surgery with DST reconstruction.

AB - Purpose: Anastomotic leakage (AL) is a critical complication of colorectal cancer surgery. The transanal drainage tube (TDT) is designed to prevent AL caused by decompression and stasis at the anastomosis. We conducted this study to investigate the feasibility of using the TDT to prevent AL following double-stapling technique reconstruction (DST). Methods: The subjects of this study were 179 patients who underwent curative resection and DST reconstruction for sigmoid colon and rectal cancer in our institution between 2008 and 2013. We analyzed the effectiveness of the TDT for preventing AL. Results: A TDT was placed in 78 patients (43.6 %, TDT group) and not placed in the remaining 101 patients (56.4 %, NTDT group). AL developed in 2 (2.6 %) patients from the TDT group and in 14 (13.9 %) patients from the NTDT group (p = 0.009). Univariate analysis revealed that AL was significantly correlated with tumor distance from the anal verge (AV), the number of staples, and TDT placement. Multivariate analysis revealed a significantly positive correlation between AL and AV [OR 0.877 (0.783–0.982) p = 0.023] and a significantly negative correlation between AL and TDT placement [OR 0.07 (0.013–0.374) p = 0.002]. Conclusions: Anastomotic decompression with TDT placement may prevent AL after colorectal cancer surgery with DST reconstruction.

KW - Anastomotic leakage

KW - Colorectal cancer

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