Risk Factors of Permanent Stomas in Patients with Rectal Cancer after Low Anterior Resection with Temporary Stomas
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Purpose: The aim of this study was to identify risk factors influencing permanent stomas after low anterior resection with temporary stomas for rectal cancer. Materialsand Methods: A total of 2528 consecutive rectal cancer patients who had undergonelow anterior resection were retrospectively reviewed. Risk factors for permanentstomas were evaluated among these patients. Results: Among 2528 cases of rectal cancer, a total of 231 patients had a temporary diverting stoma. Among these cases, 217 (93.9%) received a stoma reversal. The median period between primary surgery and stoma reversal was 7.5 months. The temporary and permanentstoma groups consisted of 203 and 28 patients, respectively. Multivariate analysis showed that independent risk factors for permanent stomas were anastomotic-related complications (p=0.001) and local recurrence (p=0.001). The 5-year overall survival for the temporary and permanent stoma groups were 87.0% and 70.5%, respectively (p<0.001). Conclusion: Rectal cancer patients who have temporarystomas after low anterior resection with local recurrence and anastomotic-related complications may be at increased risk for permanent stoma.
Abstract
Purpose: The aim of this study was to identify risk factors influencing permanent stomas after low anterior resection with temporary stomas for rectal cancer. Materialsand Methods: A total of 2528 consecutive rectal cancer patients who had undergonelow anterior resection were retrospectively reviewed. Risk factors for permanentstomas were evaluated among these patients. Results: Among 2528 cases of rectal cancer, a total of 231 patients had a temporary diverting stoma. Among these cases, 217 (93.9%) received a stoma reversal. The median period between primary surgery and stoma reversal was 7.5 months. The temporary and permanentstoma groups consisted of 203 and 28 patients, respectively. Multivariate analysis showed that independent risk factors for permanent stomas were anastomotic-related complications (p=0.001) and local recurrence (p=0.001). The 5-year overall survival for the temporary and permanent stoma groups were 87.0% and 70.5%, respectively (p<0.001). Conclusion: Rectal cancer patients who have temporarystomas after low anterior resection with local recurrence and anastomotic-related complications may be at increased risk for permanent stoma.
참고문헌 (21)
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