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Risk factors for anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique

DC Field Value Language
dc.contributor.author김남규-
dc.contributor.author김진수-
dc.contributor.author민병소-
dc.contributor.author조선연-
dc.date.accessioned2015-04-24T17:29:28Z-
dc.date.available2015-04-24T17:29:28Z-
dc.date.issued2009-
dc.identifier.issn1072-7515-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105498-
dc.description.abstractBACKGROUND: Laparoscopic rectal transection carries the risk of anastomotic leakage because of its technical difficulty and long staple line with an inadequate cutting angle. Our objective was to investigate the risk factors affecting anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique. STUDY DESIGN: Between November 2006 and September 2008, 270 consecutive patients underwent laparoscopic sigmoidectomy and anterior resection with double stapling technique for distal sigmoid and rectal cancer. Data were collected prospectively. Univariate and multivariate analyses were performed to determine risk factors for anastomotic leakage. Additionally, we evaluated the relationship between the number of stapler firings and clinical parameters. RESULTS: Anastomotic leakage was noted in 17 (6.3%) of 270 patients. In univariate analyses, tumor location (p = 0.021), operation time (p = 0.025), number of stapler firings (p = 0.040), and diameter of the circular stapler (p = 0.022) were significant risk factors for anastomotic leakage. Multivariate analyses showed that middle or lower rectal cancer was an independent factor affecting anastomotic leakage (p = 0.013). The number of stapler firings increased significantly in men (p = 0.023), in patients with a tumor at a lower level (p = 0.034), and in those with longer operation times (p < 0.001). CONCLUSIONS: A reduction in the number of linear stapler firings is necessary to avoid anastomotic leakage after laparoscopic colorectal anastomosis with a double stapling technique. We recommend that a diverting ileostomy is mandatory in patients with middle and lower rectal cancer where multiple linear staplers were used.-
dc.description.statementOfResponsibilityopen-
dc.format.extent694~701-
dc.relation.isPartOfJOURNAL OF THE AMERICAN COLLEGE OF SURGEONS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnastomosis, Surgical/adverse effects-
dc.subject.MESHColectomy/adverse effects*-
dc.subject.MESHColon/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRectal Neoplasms/surgery*-
dc.subject.MESHRectum/surgery*-
dc.subject.MESHRisk Factors-
dc.subject.MESHSigmoid Neoplasms/surgery*-
dc.subject.MESHSurgical Stapling-
dc.titleRisk factors for anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJin Soo Kim-
dc.contributor.googleauthorSun Yeon Cho-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorNam Kyu Kim-
dc.identifier.doi10.1016/j.jamcollsurg.2009.09.021-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01021-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA03828-
dc.relation.journalcodeJ01772-
dc.identifier.eissn1879-1190-
dc.identifier.pmid19959036-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1072751509013416-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameKim, Jin Soo-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.alternativeNameCho, Sun Yeon-
dc.contributor.affiliatedAuthorKim, Jin Soo-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.contributor.affiliatedAuthorMin, Byung Soh-
dc.contributor.affiliatedAuthorCho, Sun Yeon-
dc.citation.volume209-
dc.citation.number6-
dc.citation.startPage694-
dc.citation.endPage701-
dc.identifier.bibliographicCitationJOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, Vol.209(6) : 694-701, 2009-
dc.identifier.rimsid44309-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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