Rectal washout does not increase the complication risk after anterior resection for rectal cancer
(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
- Teurneau-Hermansson, Karl LU ; Svensson Neufert, Rebecca LU ; Buchwald, Pamela LU and Jörgren, Fredrik LU
- organization
- publishing date
- 2021
- 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
-
- pmid:33740992
- scopus:85102830710
- 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
- 2024-09-21 17:56:31
@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 < 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.</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}}, }