کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278768 1611507 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Failing to reverse a diverting stoma after lower anterior resection of rectal cancer
ترجمه فارسی عنوان
ناتوانی در جلوگیری از یک استوما انحراف پس از برداشتن بخش کوچکی از سرطان رکتوم
کلمات کلیدی
استعمایت کردن، نرخ غیرقابل تعویض، رزکسیون کمر قدامی، سرطان رکتوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundA diverting stoma is an accepted adjunct to low anterior resection (LAR) for rectal cancer. However, some patients do not undergo a subsequent procedure to have the stoma reversed. We aim to determine incidence and risk factors for nonclosure of the diverting stoma.MethodsThis is a retrospective study of stage I to III rectal cancer patients at a single institution having LAR with curative intent and a diverting stoma.ResultsWe studied 162 patients. Prevalence of nonclosure of the temporary stoma was 14.5% within 13 months of the index surgery. On a multivariate linear regression model, nonclosure was associated with anastomotic leak (odds ratio 9.89, 2.31 to 43.93, P < .001) and age older than 65 (odds ratio 2.76, 1.08 to 7.48, P < .036).ConclusionsPrevalence of nonclosure of a diverting stoma after LAR for rectal cancer is substantial (14.5%). Patients should be counselled regarding this risk with particular attention to potential risk factors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 207, Issue 5, May 2014, Pages 708–711
نویسندگان
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