Can trans-anal reinforcing sutures after double stapling in lower anterior resection reduce the need for a temporary diverting ostomy?

作     者：Se-Jin Baek Jin Kim Jungmyun Kwak Seon-Hahn Kim 

作者机构：Department of SurgeryKorea University College of Medicine 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第32期

页      面：5309-5313页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Anastomotic leak Low anterior resection Rectal neoplasms Double-stapled anastomotic technique Reinforcement sutures 

摘      要：AIM:To evaluate trans-anal reinforcing sutures in low anterior resection using the double-stapled anastomosis technique for primary rectal cancers performed at a single ***:The data of patients who received transanal reinforcing sutures were compared with those of patients who did not receive them after low anterior *** who underwent laparoscopic low anterior resection and the double-stapled anastomosis technique for primary rectal cancer between January2008 and December 2011 were included in this *** with no anastomosis,a hand-sewn anastomosis,high anterior resection,or preoperative chemoradiation were *** primary outcomes measured were the incidence of postoperative anastomotic complications and placement of a diverting ***:Among 110 patients,the rate of placement of a diverting ileostomy was significantly lower in the suture group(SG)compared with the non-suture control group(CG)[SG,n=6(12.8%);CG,n=19(30.2%),P=0.031].No significant difference was observed in the rate of anastomotic leakage[SG,n=3(6.4%);CG,n=5(7.9%)].CONCLUSION:Trans-anal reinforcing sutures may reduce the need for diverting ileostomy.A randomized prospective study with a larger population should be performed in the future to demonstrate the efficacy of trans-anal reinforcing sutures.