Effect of Double-tube Anal Canal in Prevention of Anastomotic Fistula of Middle or Low Rectal Cancer after Laparoscopic-assisted Anterior Resection
Pages: 1014-1016
Year: 2017 Issue: 6
Journal: Practical Journal of Cancer
Abstract: Objective To explore the effect of double-tube anal canal in prevention of anastomotic fistula of middle or low rectal cancer after laparoscopic-assisted anterior resection.Methods A retrospective study was conducted in 658 patients with middle or low rectal cancer(except for prophylactic fistula during operation).According to the postoperative treatment were divided into 2 groups,group A(n =325) were treated with double-canal anal canal and group B(n =333) were treated with conventional treatment.The incidence rate of anastomotic fistula,drainage tube placement time,hospital stay and hospitalization cost were compared between the 2 groups.Anastomotic stenosis was observed in the 2 groups after operation.Results There were 30 (4.6％,30/658) cases of postoperative anastomotic fistula in 658 patients,12 cases (5.1％,12/325) in group A,18 cases (5.4％,18/333) in group B,and the occurrence of anastomotic fistula of the 2 groups had significant difference (P ＜ 0.05).The average time of drainage tube in group A was(9.5-± 3.1) d,in group B was(15.3 ± 4.5) d,the difference was statistically significant(P ＜ 0.05);The hospitalization time in group A was(15.3 ± 5.4) d and in group B was(20.4 ± 6.7) d;the hospitalization cost in group A was(43572 ± 3234) and in group B was(53387-± 4792),the difference was statistically significant(P ＜ 0.05).There were 2 cases(2/12,16.7％) of reoperation in group A,and 12 cases(12/18,66.7％) in group B,the difference was statistically significant(P ＜ 0.05).In group A,there was no anastomotic stenosis in 6 months after operation.In group B,there was 6 cases of anastomotic stenosis in 6 months after operation.Conclusion Double-tube anal canal for middle or low rectal cancer after laparoscopic-assisted anterior resection can reduce anastomotic fistula.
Year: 2017 Issue: 6
Journal: Practical Journal of Cancer
Abstract: Objective To explore the effect of double-tube anal canal in prevention of anastomotic fistula of middle or low rectal cancer after laparoscopic-assisted anterior resection.Methods A retrospective study was conducted in 658 patients with middle or low rectal cancer(except for prophylactic fistula during operation).According to the postoperative treatment were divided into 2 groups,group A(n =325) were treated with double-canal anal canal and group B(n =333) were treated with conventional treatment.The incidence rate of anastomotic fistula,drainage tube placement time,hospital stay and hospitalization cost were compared between the 2 groups.Anastomotic stenosis was observed in the 2 groups after operation.Results There were 30 (4.6％,30/658) cases of postoperative anastomotic fistula in 658 patients,12 cases (5.1％,12/325) in group A,18 cases (5.4％,18/333) in group B,and the occurrence of anastomotic fistula of the 2 groups had significant difference (P ＜ 0.05).The average time of drainage tube in group A was(9.5-± 3.1) d,in group B was(15.3 ± 4.5) d,the difference was statistically significant(P ＜ 0.05);The hospitalization time in group A was(15.3 ± 5.4) d and in group B was(20.4 ± 6.7) d;the hospitalization cost in group A was(43572 ± 3234) and in group B was(53387-± 4792),the difference was statistically significant(P ＜ 0.05).There were 2 cases(2/12,16.7％) of reoperation in group A,and 12 cases(12/18,66.7％) in group B,the difference was statistically significant(P ＜ 0.05).In group A,there was no anastomotic stenosis in 6 months after operation.In group B,there was 6 cases of anastomotic stenosis in 6 months after operation.Conclusion Double-tube anal canal for middle or low rectal cancer after laparoscopic-assisted anterior resection can reduce anastomotic fistula.
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