SwePub
Sök i LIBRIS databas

  Extended search

WFRF:(Back Erik)
 

Search: WFRF:(Back Erik) > Mucosal blood flow ...

  • Back, ErikUmeå universitet,Kirurgi (author)

Mucosal blood flow in the remaining rectal stump is more affected by total than partial mesorectal excision in patients undergoing anterior resection : a key to understanding differing rates of anastomotic leakage?

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-05-18
  • Springer,2021
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-91880
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-91880URI
  • https://doi.org/10.1007/s00423-021-02182-0DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183305URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies:Umeå University Cancer Research Foundation in Northern Sweden  
  • PURPOSE: Anterior resection is the procedure of choice for tumours in the mid and upper rectum. Depending on tumour height, a total mesorectal excision (TME) or partial mesorectal excision (PME) can be performed. Low anastomoses in particular have a high risk of developing anastomotic leakage, which might be explained by blood perfusion compromise. A pilot study indicated a worse blood flow in TME patients in an open setting. The aim of this study was to further evaluate perianastomotic blood perfusion changes in relation to TME and PME in a predominantly laparoscopic context.METHOD: In this prospective cohort study, laser Doppler flowmetry was used to evaluate the perianastomotic colonic and rectal perfusion before and after surgery. The two surgical techniques were compared in terms of mean differences of perfusion units using a repeated measures ANOVA design, which also enabled interaction analyses between type of mesorectal excision and location of measurement. Anastomotic leakage until 90 days after surgery was reported for descriptive purposes.RESULTS: Some 28 patients were available for analysis: 17 TME and 11 PME patients. TME patients had a reduced blood perfusion postoperatively compared to PME patients in the aboral posterior area (mean difference: -57 vs 18 perfusion units; p = 0.010). An interaction between mesorectal excision type and anterior/posterior location was detected at the aboral level (p = 0.007). Two patients developed a minor leakage, diagnosed after discharge.CONCLUSION: Patients operated on using TME have a decreased blood flow in the aboral posterior quadrant of the rectum postoperatively compared to patients operated on using PME. This might explain differing rates of anastomotic leakage.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02401100.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Brännström, FredrikUmeå universitet,Kirurgi,Department of Surgery, Södertälje Hospital, Södertälje, Sweden(Swepub:umu)frkbrm96 (author)
  • Svensson, Johan,1978-Umeå universitet,Kirurgi,Statistik(Swepub:umu)josv0027 (author)
  • Rutegård, Jörgen,1948-Umeå universitet,Kirurgi(Swepub:umu)jaru0001 (author)
  • Matthiessen, Peter,1957-Örebro universitet,Institutionen för medicinska vetenskaper(Swepub:oru)pemn (author)
  • Haapamäki, Markku MUmeå universitet,Kirurgi(Swepub:umu)maha0047 (author)
  • Rutegård, Martin,1982-Umeå universitet,Kirurgi,Wallenberg centrum för molekylär medicin vid Umeå universitet (WCMM)(Swepub:umu)maru0039 (author)
  • Umeå universitetKirurgi (creator_code:org_t)

Related titles

  • In:Langenbeck's archives of surgery (Print): Springer406:6, s. 1971-19771435-24431435-2451

Internet link

Find in a library

To the university's database

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view