Transanal repair of anastomotic leakage after oncologic low anterior resection: a prospective cohort.

ABSTRACT:

Background

Anastomotic leakage is a common complication after low anterior resection for rectal cancer, often resulting in a permanent stoma. This study aimed to evaluate the effectiveness of early detection, sepsis control, and transanal repair in managing anastomotic leakage.

Methods

In this prospective cohort study conducted from January 2018 to June 2022 at a Norwegian university hospital, patients undergoing resectional surgery for rectal cancer were assessed for anastomotic leaks. Early detection involved CT with rectal contrast and flexible endoscopy. Repair eligibility required involvement of less than half the anastomotic circumference and no ischemia or retraction of the colon. The cavity outside the anastomotic defect was cleaned using a catheter for intermittent

SUBMITTER: Lossius W 

PROVIDER: S-EPMC11828829 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature