Transanal Tube As a Means of Prevention of Anastomotic Leakage After Rectal Cancer Surgery

Overview

Journal Viszeralmedizin

Publisher Karger

Date 2015 Aug 20

PMID 26288609

Citations 7

Authors

Zuzana Adamova

Affiliations

Soon will be listed here.

Abstract

Background: Anastomotic leaks after low anterior resection for rectal cancer remain the most feared complication. The aim of our study was to investigate whether the use of a transanal tube could reduce the leakage rate after this surgical procedure.

Methods: This is a retrospective analysis of a single-institution experience. The study includes 66 patients who underwent low anterior resection for rectal cancer without stoma creation between January 2008 and June 2013. Patients were divided into two groups, i.e. those with a transanal drainage tube (TT; n = 9) and those without tube (NTT; n = 57), and evaluated for clinically evident anastomotic leakage and postoperative complications.

Results: The postoperative anastomotic leakage appeared in 5 patients (9%) in the NTT group while no single case was observed within the TT group. Despite the disadvantageous background in the TT group (a transanal stent was used in the most high-risk patients), these patients had no postoperative complications. In the NTT group, 23% had some kind of postoperative complications, and 5% died. The difference between the two groups is not significant.

Conclusions: Our study showed that the use of a transanal tube in low anterior resection for rectal cancer could potentially be a simple and effective method of reducing anastomotic leakage. In order to prove our observations, larger prospective randomized studies should be performed.

Citing Articles

Updated evidence of the effectiveness and safety of transanal drainage tube for the prevention of anastomotic leakage after rectal low anterior resection: a systematic review and meta-analysis.

Tamura K, Uchino M, Nomura S, Shinji S, Kouzu K, Fujimoto T Tech Coloproctol. 2024; 28(1):71.

PMID: 38916755 DOI: 10.1007/s10151-024-02942-2.

Transanal drainage tube for the prevention of anastomotic leakage after rectal cancer surgery: a meta-analysis of randomized controlled trials.

Xia S, Wu W, Ma L, Luo L, Yu L, Li Y Front Oncol. 2023; 13:1198549.

PMID: 37274258 PMC: 10235681. DOI: 10.3389/fonc.2023.1198549.

Role of transanal drainage tubes in preventing anastomotic leakage after low anterior resection: a meta-analysis of randomized controlled trials.

Zhao S, Hu K, Tian Y, Xu Y, Tong W Tech Coloproctol. 2022; 26(12):931-939.

PMID: 35915290 DOI: 10.1007/s10151-022-02665-2.

The impact of transanal tube design for preventing anastomotic leak in anterior resection: a systematic review and meta-analysis.

Dumble C, Morgan T, Wells C, Bissett I, OGrady G Tech Coloproctol. 2020; 25(1):59-68.

PMID: 33125604 DOI: 10.1007/s10151-020-02354-y.

Effect comparison of three different types of transanal drainage tubes after anterior resection for rectal cancer.

Luo Y, Zhu C, Wu D, Zhou L, Wang C BMC Surg. 2020; 20(1):166.

PMID: 32711482 PMC: 7382045. DOI: 10.1186/s12893-020-00811-x.

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