ASSESSMENT RISK FACTORS OF ANASTOMOTIC STRICTURE FOLLOWING RECTAL CANCER SURGERY AT K HOSPITAL

Phạm Văn Bình1,, Phan Hữu Huỳnh2
1 Robotic-Assisted Laparoscopic Surgery Center, K Hospital
2 K Hospital

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Abstract

Aim: To acess the risk factor of anastomotic stricture following rectal cancer surgery. Method: Restrospective study. Results: Among the 256 patients included, 9 (3.52%) were diagnosed as having anastomotic stricture. Multivariable logistic regression analysis revealed that postoperative radiotherapy (OR=8.18, 95%CI=1.66–40.32), intersphincteric resection (ISR) (OR=11.4, 95%CI=2.30–56.42), anastomotic leak (OR= 23.24.95%CI = 3.34–161.80) were independent risk factors of anastomotic stricture. Conclusion: ISR, postoperative radiotherapy and anastomotic leak were independent risk factors of anastomotic stricture.

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References

1. Chude GG, Rayate NV, Patris V et al. (2008). Defunctioning loop ileostomy with low anterior resection for distal rectal cancer: should we make an ileostomy as a routine procedure? A prospective randomized study. Hepatogastroenterology, 55(86-87)1562-1567.
2. Cong JS, Chen CS, Ma MX et al. (2014). Laparoscopic intersphincteric resection for low rectal cancer: comparison of stapled and manual coloanal anastomosis. Colorectal Dis, 16353-358.
3. Garcea G, Sutton CD,Lloyd TD et al. (2003). Management of benign rectal strictures: a review of present therapeutic procedures. Dis Colon Rectum, 46(11)1451-1460.
4. Hayden DM, Mora Pinzon MC, Francescatti AB, Saclarides TJ. (2014). Patient factors may predict anastomotic complications after rectal cancer surgery: Anastomotic complications in rectal cancer. Ann Med Surg (Lond), 4(1)11-16.
5. Kraenzler A, Maggiori L,Pittet O et al. (2017). Anastomotic stenosis after coloanal, colorectal and ileoanal anastomosis: what is the best management? Colorectal Dis, 19(2)096.
6. Kumar A, Daga R,et al Vijayaragavan P. (2011). Anterior resection for rectal carcinoma - risk factors for anastomotic leaks and strictures. World J Gastroenterol, 17(11)1475-1479.
7. Lee SY, Kim CH, Kim YJ,Kim HR. (2017). Anastomotic stricture after ultralow anterior resection or intersphincteric resection for very low-lying rectal cancer. Surg Endosc, 32(2)660-666.
8. Zhang B, Zhuo GZ,Tian L et al. (2019). Risk factors of coloanal anastomotic stricture after laparoscopic intersphincteric resection for low rectal cancer. Zhonghua Wei Chang Wai Ke Za Zhi, 22(8)755-761.