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September 28, 2025MedicinaOpen Access

Impact of Surgical Approach, Patient Risk Factors, and Diverting Ileostomy on Anastomotic Leakage and Outcomes After Rectal Cancer Resection: A 5-Year Single-Center Study

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Authors

DNDeividas NekrosiusLithuanian University of Health Sciences EGEdvinas GvozdasLithuanian University of Health Sciences GPGabriele Marija PratkuteLithuanian University of Health Sciences

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Overview

Retrospective cohort study shows that surgical approach and patient risk factors impact anastomotic leakage, suggesting diverting ileostomy improves outcomes.

Key Points

Anastomotic leakage occurred in 20.5% of laparoscopic patients and 18.4% of open patients, showing similar rates between approaches.
Reoperation rates were higher in laparoscopic surgery (13.1%) compared to open surgery (6.7%), indicating potential complications.
Patients with higher ASA scores and older age were identified as independent risk factors for anastomotic leakage, emphasizing the need for careful patient assessment.
The use of a diverting ileostomy significantly reduced the risk of anastomotic leakage, suggesting its broader application in high-risk patients.

Cite This Study

Nekrosius et al. (2025) studied this question.

synapsesocial.com/papers/68d9052941e1c178a14f586a https://doi.org/10.3390/medicina61101751

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September 28, 2025MedicinaOpen Access

Impact of Surgical Approach, Patient Risk Factors, and Diverting Ileostomy on Anastomotic Leakage and Outcomes After Rectal Cancer Resection: A 5-Year Single-Center Study

View Full Paper

Ask AI

Bookmark

Authors

DNDeividas NekrosiusLithuanian University of Health Sciences EGEdvinas GvozdasLithuanian University of Health Sciences GPGabriele Marija PratkuteLithuanian University of Health Sciences

Discussion

Member takes

Overview

Retrospective cohort study shows that surgical approach and patient risk factors impact anastomotic leakage, suggesting diverting ileostomy improves outcomes.

Key Points

Anastomotic leakage occurred in 20.5% of laparoscopic patients and 18.4% of open patients, showing similar rates between approaches.
Reoperation rates were higher in laparoscopic surgery (13.1%) compared to open surgery (6.7%), indicating potential complications.
Patients with higher ASA scores and older age were identified as independent risk factors for anastomotic leakage, emphasizing the need for careful patient assessment.
The use of a diverting ileostomy significantly reduced the risk of anastomotic leakage, suggesting its broader application in high-risk patients.

Cite This Study

Nekrosius et al. (2025) studied this question.

synapsesocial.com/papers/68d9052941e1c178a14f586a https://doi.org/10.3390/medicina61101751

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