Rectal washout does not increase the complication risk after anterior resection for rectal cancer
Teurneau-Hermansson, Karl LU
; Svensson Neufert, Rebecca
LU
; 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.
(Less)
- 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
- 2024-06-29 09:59:51
@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}},
}