Official websites use. Share sensitive information only on official, secure websites. This is an open-access article distributed under the terms of the Creative Commons Attribution License. We aimed to assess rates of surgical complications in rectal cancer patients according to the type of procedure they had undergone.
Postoperative complications and clinical outcomes were assessed. Sixty-seven patients Twenty-nine patients 7. Twenty-one percent of the group 2 patients did not undergo the stoma closure after a month follow-up.
HP was associated with a lower incidence of reoperation due to intra-abdominal septic complications. This procedure remains an option for patients in whom serious surgical complications are anticipated. Anastomotic leak AL is still a critical issue in rectal cancer surgery. The primary method to prevent anastomotic dehiscence after a low anterior resection is to create a DS.
Although this strategy may not reduce the incidence of leaking, it can mitigate its consequences, reducing the need for urgent abdominal reoperation 6. Several risk factors for AL have been identified, including systemic conditions such as anemia, diabetes mellitus, and hypoalbuminemia. Local factors have also been implicated, including irradiation of bowel, intestinal ischemia, and a more distal location of the rectal tumor.
So, the crucial decision of performing or not a colorectal anastomosis, particularly in elderly individuals, should take into account the general clinical condition of the patient, including comorbidities and capability to overcome the life-threatening consequences of an AL 8. The management of rectal cancer patients should include a thorough preoperative discussion with the patient and family about the potential risk of AL, its consequences, and the possibility of having a permanent stoma at the end of the treatment.
