Highly selective diversion with proactive leakage management after low anterior resection for rectal cancer. Issue 6 (1st February 2021)

• Record Type: Journal Article
• Authors: Talboom, K; Vogel, I; Blok, R D; Roodbeen, S X; Ponsioen, C Y; Bemelman, W A; Hompes, R; Tanis, P J
• Is Part Of: British journal of surgery. Volume 108:Issue 6(2021)
• Page Start: 609
• Page End: 612
• Publication Date: 2021-02-01
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znab018
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract : In this single center case series with nine percent primary diversion, 86 of 94 patients alive and with complete follow-up at one year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. Meaning: Highly selective fecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared all disadvantages of a diverting stoma.