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KCIPurpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection (high anterior resection+low anterior resection) for rectal cancer. Methods: Between January 1998 and December 2007, 356 ...
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RISS 인기검색어
직장암에서 전방절제술 후 문합부 누출에 대한 분석 = Analysis of Anastomotic Leakage after an Anterior Resection for Rectal Cancer
한글로보기https://www.riss.kr/link?id=A104749506
- 저자
- 발행기관
- 학술지명
- 권호사항
-
발행연도
2009
-
작성언어
Korean
- 주제어
-
등재정보
KCI등재,SCOPUS,ESCI
-
자료형태
학술저널
- 발행기관 URL
-
수록면
340-346(7쪽)
-
KCI 피인용횟수
1
- 제공처
-
0
상세조회 -
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부가정보
다국어 초록 (Multilingual Abstract)
Purpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
Purpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
다국어 초록 (Multilingual Abstract)
Purpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
Purpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection (high anterior resection+low anterior resection) for rectal cancer. Methods: Between January 1998 and December 2007, 356 pa...
Purpose: The aim of our study was to identify risk factors associated with anastomotic leakage (AL) after an anterior resection
(high anterior resection+low anterior resection) for rectal cancer.
Methods: Between January 1998 and December 2007, 356 patients underwent an anterior resection for rectal cancer. Early
anastomotic leakage (EAL) was defined as leakage identified during hospitalization. Late anastomotic leakage (LAL) was
defined as leakage identified in outpatients.
Results: AL (EAL+LAL) occurred in 30 patients (8.4%, mean time: 15.4 days). Among of them, EAL occurred in 20 patients
(5.6%, mean time: 5.1 days), and LAL occurred in 10 patients (2.8%, mean time: 36.0 days). In the univariate analysis, the
size of the tumor, the tumor level from the anal verge, and the level of anastomosis were significantly associated with AL. In
EAL, the size of the tumor, the tumor level from the anal verge, the level of anastomosis, the operation type, and the value
of serum albumin on day 3 after the operation were risk factors. In LAL, the tumor level from the anal verge and the level of
anastomosis were risk factors. In the multivariate analysis, tumor size >7 cm (AL: P<0.001, EAL: P<0.001) and tumor level
from the anal verge ≤8 cm (AL: P=0.014, EAL: P=0.001) were independent risk factors.
Conclusion: AL and EAL after an anterior resection for rectal cancer were related to the size of the tumor and the level of
the tumor from the anal verge.
참고문헌 (Reference)
1 Marusch F, "Value of a protective stoma in low anterior resections for rectal cancer" 45 : 1164-1171, 2002
2 Lopez-Kostner F, "Total mesorectal excision is not necessary for cancers of the upper rectum" 124 : 612-617, 1998
3 Moran BJ, "Stapling instruments for intestinal anastomosis in colorectal surgery" 83 : 902-909, 1996
4 Sorensen LT, "Smoking and alcohol abuse are major risk factors for anastomotic leakage in colorectal surgery" 86 : 927-931, 1999
5 Guillou PJ, "Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial" 365 : 1718-1726, 2005
6 Karanjia ND, "Risk of peritonitis and fatal septicaemia and the need to defunction the low anastomosis" 78 : 196-198, 1991
7 Tang R, "Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients" 234 : 181-189, 2001
8 Kruschewski M, "Risk factors for clinical anastomotic leakage and postoperative mortality in elective surgery for rectal cancer" 22 : 919-927, 2007
9 Rullier E, "Risk factors for anastomotic leakage after resection of rectal cancer" 85 : 355-358, 1998
10 Law WI, "Risk factors for anastomotic leakage after low anterior resection with total mesorectal excision" 179 : 92-96, 2000
1 Marusch F, "Value of a protective stoma in low anterior resections for rectal cancer" 45 : 1164-1171, 2002
2 Lopez-Kostner F, "Total mesorectal excision is not necessary for cancers of the upper rectum" 124 : 612-617, 1998
3 Moran BJ, "Stapling instruments for intestinal anastomosis in colorectal surgery" 83 : 902-909, 1996
4 Sorensen LT, "Smoking and alcohol abuse are major risk factors for anastomotic leakage in colorectal surgery" 86 : 927-931, 1999
5 Guillou PJ, "Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial" 365 : 1718-1726, 2005
6 Karanjia ND, "Risk of peritonitis and fatal septicaemia and the need to defunction the low anastomosis" 78 : 196-198, 1991
7 Tang R, "Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients" 234 : 181-189, 2001
8 Kruschewski M, "Risk factors for clinical anastomotic leakage and postoperative mortality in elective surgery for rectal cancer" 22 : 919-927, 2007
9 Rullier E, "Risk factors for anastomotic leakage after resection of rectal cancer" 85 : 355-358, 1998
10 Law WI, "Risk factors for anastomotic leakage after low anterior resection with total mesorectal excision" 179 : 92-96, 2000
11 Makela JT, "Risk factors for anastomotic leakage after left-sided colorectal resection with rectal anastomosis" 46 : 653-660, 2003
12 Matthiessen P, "Risk factors for anastomotic leakage after anterior resection of the rectum" 6 : 462-469, 2004
13 Peeters KC, "Risk factors for anastomotic failure after total mesorectal excision of rectal cancer" 92 : 211-216, 2005
14 Lee WS, "Risk factors and clinical outcome for anastomotic leakage after total mesorectal excision for rectal cancer" 32 : 1124-1129, 2008
15 Ito M, "Relationship between multiple numbers of stapler firings during rectal division and anastomotic leakage after laparoscopic rectal resection" 23 : 703-707, 2008
16 Poon RT, "Prospective evaluation of selective defunctioning stoma for low anterior resection with total mesorectal excision" 23 : 463-467, 1999
17 Nesbakken A, "Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer" 88 : 400-404, 2001
18 Jones OM, "Low anastomotic leak rate after colorectal surgery: a single-centre study" 9 : 740-744, 2007
19 Karanjia ND, "Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum" 81 : 1224-1226, 1994
20 Dehni N, "Influence of a defunctioning stoma on leakage rates after low colorectal anastomosis and colonic J pouch-anal anastomosis" 85 : 1114-1117, 1998
21 Jarvinen HJ, "Improvements in the treatment and prognosis of colorectal carcinoma" 75 : 25-27, 1988
22 Vignali A, "Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients" 185 : 105-113, 1997
23 Marusch F, "Early postoperative results of surgery for rectal carcinoma as a function of the distance of the tumor from the anal verge: results of a multicenter prospective evaluation" 387 : 94-100, 2002
24 Lewis SJ, "Early enteral feeding versus ‘‘nil by mouth’’ after gastrointestinal surgery: systematic review and meta-analysis of controlled trials" 323 : 773-776, 2001
25 Miettinen RP, "Bowel preparation with oral polyethylene glycol electrolyte solution vs. no preparation in elective open colorectal surgery: prospective, randomized study" 43 : 669-675, 2000
26 Fazio VW, "Assessment of operative risk in colorectal cancer surgery: the Cleveland Clinic Foundation colorectal cancer model" 47 : 2015-2024, 2004
27 Law WL, "Anterior resection for rectal cancer with mesorectal excision: a prospective evaluation of 622 patients" 240 : 260-268, 2004
28 Eriksen MT, "Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients" 7 : 51-57, 2005
29 Moran B, "Anastomotic leakage after colorectal anastomosis" 18 : 244-248, 2000
30 Pakkastie TE, "Anastomotic leakage after anterior resection of the rectum" 160 : 293-297, 1994
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분석정보
인용정보 인용지수 설명보기
학술지 이력
| 연월일 | 이력구분 | 이력상세 | 등재구분 |
|---|---|---|---|
| 2023 | 평가예정 | 해외DB학술지평가 신청대상 (해외등재 학술지 평가) | |
| 2020-01-01 | 평가 | 등재학술지 유지 (해외등재 학술지 평가) | |
| 2013-03-13 | 학술지명변경 | 한글명 : Journal of the Korean Society of Coloproctolgy -> Annals of Coloproctolgy외국어명 : Journal of the Korean Society of Coloproctolgy -> Annals of Coloproctolgy | |
| 2011-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
| 2010-11-26 | 학술지명변경 | 한글명 : 대한대장항문학회지 -> Journal of the Korean Society of Coloproctolgy | |
| 2009-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
| 2006-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
| 2005-05-30 | 학술지등록 | 한글명 : 대한대장항문학회지외국어명 : 미등록 |  |
| 2005-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
| 2003-07-01 | 평가 | 등재후보학술지 선정 (신규평가) | |
학술지 인용정보
| 기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
|---|---|---|---|
| 2016 | 0.09 | 0.09 | 0.08 |
| KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
| 0.07 | 0.06 | 0.312 | 0 |
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