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Ultralow anterior resection with implantation of gentamicin-collagen sponge and no defunctioning stoma: anastomotic leakage and local cancer relapse Cover

Ultralow anterior resection with implantation of gentamicin-collagen sponge and no defunctioning stoma: anastomotic leakage and local cancer relapse

Open Access
|Mar 2019

Figures & Tables

Figure 1

Anastomosis wrapping with GCS.
Anastomosis wrapping with GCS.

Baseline characteristics

Characteristicsn (%)
Gender
Female / Male92 (58) / 66 (42)
Age (years)
Mean ± SD / median / range67.1 ± 9.8 / 68 / 34-85
Comorbidity
Diabetes / Cardiovascular disease13 (8) / 40 (25)
Smoking
Yes / No87 (55) / 71 (45)
Obesity
Yes / No31 (20) / 127 (80)
Preoperative radiotherapy
Yes / No65 (41) / 93 (59)
Operating time (minutes)
Mean ± SD / median / range118.9 ± 24.8 / 120 / 45-190
Level of anastomosis (cm)
Mean ± SD / median / range5.4 ± 1.1 / 5.0 / 3-7
Blood transfusion
Yes / No24 (15) / 134 (85)
Postoperative fever
Yes / No9 (6) / 149 (94)
T stage
T1T2 / T395 (60) / 63 (40)
N status
N- / N+91 (58) / 67 (42)

Uni – and multivariate analysis of anastomotic leakage incidence

Patients withUnivariateMultivariate
Variablesleakageanalysisanalysis
n (%)P - valueP - value
Gender
Female2 (2.2)0.4010-
Male3 (4.5)
Age
≥ 754 (12.5)0.00070.0004
< 75 years1 (0.8)
Diabetes
Yes1 (7.7)
No4 (2.8)0.3303-
Cardiovascular disease
Yes1 (2.5)
No4 (3.4)0.7811-
Smoking
Yes5 (5.7)
No0 (0)0.04010.043
Obesity
Yes2 (6.5)
No3 (2.4)0.2435-
Preoperative radiotherapy
yes3 (4.6)
no2 (2.2)0.4053-
Level of anastomosis
> 51 (1.5)
≤ 5 cm4 (4.3)0.3289-
Blood transfusion
yes1 (4.2)
no4 (3.0)0.7607-
Postoperative fever
yes0 (0)
no5 (3.4)0.5765-
T stage
T1T23 (3.1)
T32 (3.2)0.9953-
N status
N-3 (3.3)
N+2 (3.0)0.9119-
DOI: https://doi.org/10.2478/raon-2019-0008 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 77 - 84
Submitted on: Nov 7, 2018
|
Accepted on: Jan 10, 2019
|
Published on: Mar 3, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Tomasz Michalik, Rafał Matkowski, Przemyslaw Biecek, Jozef Forgacz, Bartlomiej Szynglarewicz, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.