Karl Teurneau-Hermansson1, Rebecca Svensson Neufert2, Pamela Buchwald3, Fredrik Jörgren1. 1. Department of Surgery, Helsingborg Hospital, Helsingborg, Lund University, Lund, Sweden. 2. Department of Surgery, Helsingborg Hospital, Helsingborg, Lund University, Lund, Sweden. Rebecca.Svensson_Neufert@med.lu.se. 3. Department of Surgery, Skåne University Hospital, Malmö, Lund University, Lund, Sweden.
Abstract
BACKGROUND: To reduce local recurrence risk, rectal washout (RW) is integrated in the total mesorectal excision (TME) technique when performing anterior resection (AR) for rectal cancer. Although RW is considered a safe practice, data on the complication risk are scarce. Our aim was to examine the association between RW and 30-day postoperative complications after AR for rectal cancer. METHODS: Patients from the Swedish Colorectal Cancer Registry who underwent AR between 2007 and 2013 were analysed using multivariable methods. RESULTS: A total of 4821 patients were included (4317 RW, 504 no RW). The RW group had lower rates of overall complications (1578/4317 (37%) vs. 208/504 (41%), p = 0.039), surgical complications (879/4317 (20%) vs. 140/504 (28%), p < 0.001) and 30-day mortality (50/4317 (1.2%) vs. 12/504 (2.4%), p = 0.020). In multivariable analysis, RW was a risk factor neither for overall complications (OR 0.73, 95% CI 0.60-0.90, p = 0.002) nor for surgical complications (OR 0.62, 95% CI 0.50-0.78, p < 0.001). CONCLUSIONS: RW is a safe technique that does not increase the 30-day postoperative complication risk after AR with TME technique for rectal cancer.
BACKGROUND: To reduce local recurrence risk, rectal washout (RW) is integrated in the total mesorectal excision (TME) technique when performing anterior resection (AR) for rectal cancer. Although RW is considered a safe practice, data on the complication risk are scarce. Our aim was to examine the association between RW and 30-day postoperative complications after AR for rectal cancer. METHODS:Patients from the Swedish Colorectal Cancer Registry who underwent AR between 2007 and 2013 were analysed using multivariable methods. RESULTS: A total of 4821 patients were included (4317 RW, 504 no RW). The RW group had lower rates of overall complications (1578/4317 (37%) vs. 208/504 (41%), p = 0.039), surgical complications (879/4317 (20%) vs. 140/504 (28%), p < 0.001) and 30-day mortality (50/4317 (1.2%) vs. 12/504 (2.4%), p = 0.020). In multivariable analysis, RW was a risk factor neither for overall complications (OR 0.73, 95% CI 0.60-0.90, p = 0.002) nor for surgical complications (OR 0.62, 95% CI 0.50-0.78, p < 0.001). CONCLUSIONS: RW is a safe technique that does not increase the 30-day postoperative complication risk after AR with TME technique for rectal cancer.
Authors: K Kodeda; R Johansson; N Zar; H Birgisson; M Dahlberg; S Skullman; G Lindmark; B Glimelius; L Påhlman; A Martling Journal: Colorectal Dis Date: 2015-09 Impact factor: 3.788
Authors: N J Van Leersum; H S Snijders; D Henneman; N E Kolfschoten; G A Gooiker; M G ten Berge; E H Eddes; M W J M Wouters; R A E M Tollenaar; W A Bemelman; R M van Dam; M A Elferink; Th M Karsten; J H J M van Krieken; V E P P Lemmens; H J T Rutten; E R Manusama; C J H van de Velde; W J H J Meijerink; Th Wiggers; E van der Harst; J W T Dekker; D Boerma Journal: Eur J Surg Oncol Date: 2013-07-18 Impact factor: 4.424
Authors: L Påhlman; M Bohe; B Cedermark; M Dahlberg; G Lindmark; R Sjödahl; B Ojerskog; L Damber; R Johansson Journal: Br J Surg Date: 2007-10 Impact factor: 6.939