Highly selective diversion with proactive leakage management after low anterior resection for rectal cancer
Kevin Talboom, Irene Vogel, Robin D. Blok, Sapho X. Roodbeen, Cyriel Y. Ponsioen, Willem A. Bemelman, Roel Hompes, Pieter J. Tanis
Abstract
In this single center case series with nine percent primary diversion, 86 of 94 patients alive and with complete follow-up at one year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. Meaning: Highly selective fecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared all disadvantages of a diverting stoma.
Topics & Concepts
MedicineStoma (medicine)AnastomosisSurgeryColorectal cancerResectionLeakage (economics)General surgeryCancerInternal medicineEconomicsMacroeconomicsColorectal Cancer Surgical TreatmentsColorectal and Anal CarcinomasGastric Cancer Management and Outcomes