Factor Analysis of Anastomotic Fistula after Laparoscopic Anterior Resection for Colorectal Cancer

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Factor Analysis of Anastomotic Fistula after Laparoscopic Anterior Resection for Colorectal Cancer

更新时间：2021-08-23

- Factor Analysis of Anastomotic Fistula after Laparoscopic Anterior Resection for Colorectal Cancer
- Health Medicine Research and Practice Vol. 11, Issue 4, Pages: 22-25(2014)
- 作者机构：
  
  重庆医科大学附属第一医院金山分院普外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R735.37
- Published：2014，
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[1]李爽.腹腔镜直肠癌前切除术后吻合口瘘的影响因素分析[J].保健医学研究与实践,2014,11(04):22-25.

LI Shuang. Factor Analysis of Anastomotic Fistula after Laparoscopic Anterior Resection for Colorectal Cancer. [J]. Health Medicine Research and Practice 11(4):22-25(2014)
[1]李爽.腹腔镜直肠癌前切除术后吻合口瘘的影响因素分析[J].保健医学研究与实践,2014,11(04):22-25. DOI：

LI Shuang. Factor Analysis of Anastomotic Fistula after Laparoscopic Anterior Resection for Colorectal Cancer. [J]. Health Medicine Research and Practice 11(4):22-25(2014) DOI：

摘要

目的探讨腹腔镜直肠癌前切除术后吻合口瘘发生的影响因素。方法回顾性研究780例腹腔镜直肠癌前切除术患者的临床资料

分析性别、年龄、术前血清白蛋白、是否患糖尿病、肿瘤位置、肿瘤大小、病理分型及分期等因素与吻合口瘘发生的关系

观察预防性造瘘降低术后吻合口瘘的效果。结果术后发生吻合口瘘48例

发生率为6.2%。性别及肿瘤位置因素影响吻合口瘘发生率（χ2=12.96

P<0.05;χ2=9.38

P<0.05）

其余因素均未明显影响吻合口瘘发生率;男性、低位肿瘤高危个体行预防性造瘘组吻合口瘘发生率为4.2%

未行预防性造瘘组吻合口瘘发生率为17.5%

二者比较差异有统计学意义（χ2=4.21

P<0.05）。结论男性、肿瘤距肛缘距离小于7cm是吻合口瘘发生的高危因素

预防性造瘘能降低腹腔镜直肠癌前切除术后吻合口瘘的发生风险。

Abstract

Objective To investigate the factors affecting the occurrence of anastomotic fistula after laparoscopic anterior resection for colorectal cancer.Method The clinical data of 780 cases of patients with laparoscopic anterior resection for colorectal cancer were analyzed the relationship between anastomotic fistula and the factors of gender

age

preoperative serum albumin

diabetes

tumor location

tumor size and pathological type and stage to observe the effect of anastomotic fistula after preventive colostomy.Results 48 cases had anastomotic fistula after their operation and the incidence was 6.2%.Gender and tumor location affected the incidence of anastomotic fistula（χ2=12.96

P<0.05;χ2=9.38

P<0.05）and the remaining factors did not significantly affect the incidence of anastomotic fistula.The incidence of anastomotic fistula in male patients with low tumor locations and high-risk individuals with preventive colostomy was 4.2%

its incidence in patients with no preventive colostomy was 17.5%and the difference was statistically significant（χ2=4.21

P<0.05）.Conclusion Male and distance of cancer from the anal edge less than 7centimeters are high-risk factors for anastomotic fistula and preventive colostomy can reduce the risk of anastomotic fistula after laparoscopic anterior resection for colorectal cancer.

关键词

直肠癌吻合口瘘危险因素预防性造瘘

Keywords

Colorectal cancerAnastomotic fistulaRisk factorsPreventive colostomy

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