The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients
Open accessAbstract
Objective Mesorectal excision is successfully implemented as the standard surgical technique for rectal cancer resections in Norway. This technique has been associated with higher rates of anastomotic leakage (AL) and the purpose of this study was to examine AL in a large national cohort of patients. Methods This was a prospective national cohort study of 1958 patients undergoing rectal cancer surgery with anterior resection in Norway from November 1993 to December 1999. Results The overall rate of AL was 11.6% (228 of 1958 patients). In a multivariate analysis, the risk of AL was significantly higher in males (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.1–2.2), in patients receiving pre‐operative radiotherapy (OR 2.2, CI 1.0–4.7) and in low level (4–6 cm) (OR 3.5, CI 1.6–7.7) and ultra‐low level (≤ 3 cm) anastomoses (OR 5.4, CI 2.3–12.9). The presence of a diverting stoma was associated with a 60% reduction in the risk of AL (OR 0.4, CI 0.3–0.7) for anastomoses 6 cm and below. 30‐day mortality was significantly higher for the patients with AL (7.0%, CI 3.7–10.3) compared with no AL (2.4%, CI 1.7–3.2) AL had no significant effect on local recurrence rate (log rank P = 0.608). Conclusion Low anastomoses should be defunctioned to avoid AL and the associated high perioperative mortality. No effect of AL on local recurrence was found in this large cohort.
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Cites
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Cited by
Matthiessen, P., Hallböök, O., Rutegård, J., Simert, G., & Sjödahl, R. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e3180603024 · Cited by 1,123
Systematic Review and Meta-Analysis of the Role of Defunctioning Stoma in Low Rectal Cancer Surgery
Hüser, N., Michalski, C. W., Erkan, M., Schuster, T., Rosenberg, R., Kleeff, J., & Friess, H. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e318176bf65 · Cited by 616
Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer
Tan, W. S., Tang, C. L., Shi, L., & Eu, K. W. (2009) · British Journal of Surgery · doi:10.1002/bjs.6594 · Cited by 478
Anastomotic leakage after laparoscopic resection of rectal cancer: The impact of fibrin glue
Huh, J. W., Kim, H. R., & Kim, Y. J. (2010) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2009.01.018 · Cited by 114
Schietroma, M., Carlei, F., Cecilia, E. M., Piccione, F., Bianchi, Z., & Amicucci, G. (2014) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-013-2378-z · Cited by 37
Retracted
Metadata
- Authors
- Eriksen, M. T., Wibe, A., Norstein, J., Haffner, J., Wiig, J. N., & the Norwegian Rectal Cancer Group
- Venue
- Colorectal Disease
- Publisher
- Wiley
- Published
- 2004-12-14
- Volume
- 7
- Issue
- 1
- Pages
- 51-57
- ISSN
- 1462-8910 (ISSN-L)
- 1463-1318
- OpenAlex
- W2006815878
- Cited by
- 351
- References
- 24
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Eriksen, M. T., Wibe, A., Norstein, J., Haffner, J., Wiig, J. N., & the Norwegian Rectal Cancer Group. (2005). Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients. Colorectal Disease. https://doi.org/10.1111/j.1463-1318.2004.00700.x
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