The Impact of Anastomotic Leakage on Anal Function Following Intersphincteric Resection

Background Data regarding anastomotic leakage (AL) following intersphincteric resection (ISR) are lacking. We aimed to evaluate the effect of AL on anal function in a retrospective review of patients who developed AL following ISR. Methods We evaluated 341 consecutive patients who underwent ISR betw...

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Veröffentlicht in:	World journal of surgery 2017-08, Vol.41 (8), p.2168-2177
Hauptverfasser:	Yokota, Mitsuru, Ito, Masaaki, Nishizawa, Yuji, Kobayashi, Akihiro, Saito, Norio
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Surgery Adult Aged Aged, 80 and over Anal Canal - physiopathology Anal Canal - surgery Anal Function Anastomosis, Surgical - adverse effects Anastomosis, Surgical - methods Anastomotic Dehiscence Anastomotic Leak - etiology Anastomotic Leak - physiopathology Anastomotic Leak - therapy Anastomotic Leakage Anorectal Function Anus Cancer Cancer therapies Cardiac Surgery Chemotherapy Colorectal cancer Defecation Defecation - physiology Dehiscence Endoscopy Female Follow-Up Studies General Surgery Hospitals Humans Kaplan-Meier Estimate Leakage Male Medical prognosis Medicine Medicine & Public Health Middle Aged Neurodegenerative diseases Original Scientific Report Ostomy Patients Postoperative Complications Quality Rectal Neoplasms - pathology Rectal Neoplasms - surgery Rectum Retrospective Studies Stenosis Stricture Surgeons Surgery Surgical Stomas Surgical Wound Dehiscence - etiology Thoracic Surgery Vascular Surgery Wexner Score
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Zusammenfassung:	Background Data regarding anastomotic leakage (AL) following intersphincteric resection (ISR) are lacking. We aimed to evaluate the effect of AL on anal function in a retrospective review of patients who developed AL following ISR. Methods We evaluated 341 consecutive patients who underwent ISR between 2000 and 2012. Patients were classified into three groups: anastomotic dehiscence (AD), major AL (Clavien–Dindo grade III+), or control (
ISSN:	0364-2313 1432-2323
DOI:	10.1007/s00268-017-3960-4