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Effect of placing double-lumen irrigation-suction tube on closure of anastomotic defect following rectal cancer surgery

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Abstract

Purpose

This study aimed to investigate the effect of placement of double-lumen irrigation-suction tubes (DLIST) on the closure of anastomotic defect (AD) after rectal cancer surgery.

Methods

The study was carried out at two centers managed by one surgeon, both adopted the same treatments. Patients with postoperative AD after rectal cancer surgery from January 2011 to June 2020 were eligible and were divided into a passive drainage (PD) group and a DLIST group according to whether the PD, placed in the rectal cancer surgery, had been replaced with the DLIST. The effect of DLIST on the AL was evaluated.

Result

There distributed 76 patients in the DLIST group and 52 in the PD group. A higher closure rate was reported in the DLIST group (46 patients in DLIST group, for a closure rate of 60.5%, and 21 patients in PD group, for a closure rate of 40.4%. HR = 3.05; 95% CI: 1.79–5.19; P < 0.001). Both length of stay and costs of the treatment in the DLIST group were lower (54 days [interquartile range, IQR: 41–17] days vs. 112 days [IQR: 66–27] days, P = 0.005; and $18,721 [IQR: $14,982–4,960] vs. $40,840 [IQR: $20,932–50,529], P < 0.001).

Conclusion

Placement of DLIST might serve as an effective method for treating AD following rectal cancer surgery. In comparison with PD, it costs lower to apply DLIST in the treatment of AD and the length of stay is shorter.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. No additional data are available.

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Authors and Affiliations

  1. Department of General Surgery, Jiangning Hospital, Nanjing, Jiangsu, China

    Zheng Yao, Ming Huang, Xin Xu & Risheng Zhao

  2. Department of General Surgery, Jinling Hospital, Nanjing, Jiangsu, China

    Weiliang Tian

  3. Department of Enterocutaneous Fistula Surgery, Jiangning Hospital, Hushan Road NO.169, Nanjing, Jiangsu, China

    Zheng Yao & Risheng Zhao

Authors
  1. Zheng Yao
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  2. Weiliang Tian
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  3. Ming Huang
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  4. Xin Xu
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  5. Risheng Zhao
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Contributions

RZ and WT provide research objects. XX; ZY and RZ collected and analyzed the data; ZY; MH and WT wrote the main manuscript text; XX, prepared figures. ZY designed the research. ZY was the correspondence author. WT revised the manuscript. ZY and WT were the first authors.

Corresponding authors

Correspondence to Zheng Yao or Risheng Zhao.

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Disclosures

The authors, Zheng Yao; Weiliang Tian; Ming Huang; Xin Xu; and Risheng Zhao have no conflicts of interest or financial ties to disclose None.

Ethical approval

This study was reviewed and approved by the Ethics Committee of the Jinling Hospital.

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Informed consent was obtained from all individual participants included in the study necessary. Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.

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Yao, Z., Tian, W., Huang, M. et al. Effect of placing double-lumen irrigation-suction tube on closure of anastomotic defect following rectal cancer surgery. Surg Endosc 37, 412–420 (2023). https://doi.org/10.1007/s00464-022-09523-0

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  • DOI: https://doi.org/10.1007/s00464-022-09523-0

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