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Rectal washout does not increase the complication risk after anterior resection for rectal cancer

Teurneau-Hermansson, Karl LU orcid ; Svensson Neufert, Rebecca LU orcid ; Buchwald, Pamela LU and Jörgren, Fredrik LU (2021) In World Journal of Surgical Oncology 19(1).
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%)... (More)

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.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cancer, Complications, Rectal, Resection, Washout
in
World Journal of Surgical Oncology
volume
19
issue
1
article number
82
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85102830710
  • pmid:33740992
ISSN
1477-7819
DOI
10.1186/s12957-021-02193-7
project
Rectal washout in rectal cancer surgery
language
English
LU publication?
yes
id
a44e1520-6333-4f87-a414-c65a5c859056
date added to LUP
2021-03-30 09:17:55
date last changed
2024-06-15 08:52:49
@article{a44e1520-6333-4f87-a414-c65a5c859056,
  abstract     = {{<p>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 &lt; 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 &lt; 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.</p>}},
  author       = {{Teurneau-Hermansson, Karl and Svensson Neufert, Rebecca and Buchwald, Pamela and Jörgren, Fredrik}},
  issn         = {{1477-7819}},
  keywords     = {{Cancer; Complications; Rectal; Resection; Washout}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{World Journal of Surgical Oncology}},
  title        = {{Rectal washout does not increase the complication risk after anterior resection for rectal cancer}},
  url          = {{http://dx.doi.org/10.1186/s12957-021-02193-7}},
  doi          = {{10.1186/s12957-021-02193-7}},
  volume       = {{19}},
  year         = {{2021}},
}