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The Severity of Anastomotic Leakage May Negatively Impact the Long-term Prognosis of Colorectal Cancer.

Abstract Anastomotic leakage is a major critical complication in colorectal resection. Although its relevance to oncological outcome has been widely investigated, the correlation between the severity of anastomotic leakage and oncological outcome is not well understood.
PMID
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Authors

Mayor MeshTerms
Keywords

Colorectal cancer

anastomotic leakage

oncological outcome

Journal Title anticancer research
Publication Year Start

 



PMID- 29277820
OWN - NLM
STAT- In-Process
LR  - 20171226
IS  - 1791-7530 (Electronic)
IS  - 0250-7005 (Linking)
VI  - 38
IP  - 1
DP  - 2018 Jan
TI  - The Severity of Anastomotic Leakage May Negatively Impact the Long-term Prognosis
      of Colorectal Cancer.
PG  - 533-539
AB  - BACKGROUND: Anastomotic leakage is a major critical complication in colorectal
      resection. Although its relevance to oncological outcome has been widely
      investigated, the correlation between the severity of anastomotic leakage and
      oncological outcome is not well understood. PATIENTS AND METHODS: The clinical
      characteristics of 615 patients who underwent curative resection of colorectal
      cancer with anastomosis and normal healing were compared with 44 similar patients
      who experienced anastomotic leakage. RESULTS: Of the 44 patients, seven had grade
      A anastomotic leakage, 21 had grade B and 16 had grade C. Patients with grade A
      and B anastomotic leakage were treated conservatively (n=28), and those with
      grade C (n=16) were treated surgically. Those treated surgically had
      significantly worse recurrence-free survival and worse cancer-specific survival. 
      CONCLUSION: Anastomotic leakage had a negative prognostic impact on
      cancer-specific survival that depended on the severity of anastomotic leakage.
CI  - Copyright(c) 2018, International Institute of Anticancer Research (Dr. George J. 
      Delinasios), All rights reserved.
FAU - Takahashi, Hidekazu
AU  - Takahashi H
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan [email protected]
FAU - Haraguchi, Naotsugu
AU  - Haraguchi N
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Nishimura, Junichi
AU  - Nishimura J
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Hata, Taishi
AU  - Hata T
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Yamamoto, Hirofumi
AU  - Yamamoto H
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Matsuda, Chu
AU  - Matsuda C
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Mizushima, Tsunekazu
AU  - Mizushima T
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Doki, Yuichiro
AU  - Doki Y
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
FAU - Mori, Masaki
AU  - Mori M
AD  - Department of Gastroenterological Surgery, Osaka University, Graduate School of
      Medicine, Suita, Japan.
LA  - eng
PT  - Journal Article
PL  - Greece
TA  - Anticancer Res
JT  - Anticancer research
JID - 8102988
OTO - NOTNLM
OT  - Colorectal cancer
OT  - anastomotic leakage
OT  - oncological outcome
EDAT- 2017/12/27 06:00
MHDA- 2017/12/27 06:00
CRDT- 2017/12/27 06:00
PHST- 2017/10/24 00:00 [received]
PHST- 2017/11/09 00:00 [revised]
PHST- 2017/11/13 00:00 [accepted]
PHST- 2017/12/27 06:00 [entrez]
PHST- 2017/12/27 06:00 [pubmed]
PHST- 2017/12/27 06:00 [medline]
AID - 38/1/533 [pii]
PST - ppublish
SO  - Anticancer Res. 2018 Jan;38(1):533-539.