Title :

Combined stoma reversal and liver resection for rectal metastatic cancer: A single center retrospective analysis.

Author(s) :

Klapisz, L. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Marciniak, Camille [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Clement, G. [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Zerbib, Philippe [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Boleslawski, Emmanuel [Auteur]
Thérapies Assistées par Lasers et Immunothérapies pour l'Oncologie - U 1189 [OncoThAI]

Journal title :

Journal of Visceral Surgery

Publisher :

Elsevier

Publication date :

2021-06-14

ISSN :

1878-7886

English keyword(s) :

Protective stoma
Liver resection
Rectal cancer
Morbidity

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Goal of the studyConcomitant liver metastases are discovered at the time of diagnosis in 25% of patients with colorectal cancers. The appropriate time to restore digestive continuity after stoma creation during rectal ...
Show more >Goal of the studyConcomitant liver metastases are discovered at the time of diagnosis in 25% of patients with colorectal cancers. The appropriate time to restore digestive continuity after stoma creation during rectal surgery has not yet been established. The objective of this study is to assess the morbidity of stoma reversal during the secondary hepatectomy procedure.Patients and methodsThis was a single-center retrospective case-control study including patients who underwent ileostomy or colostomy reversal by a direct approach (REVERSAL group) compared to those who did not undergo stoma reversal (NON-REVERSAL group) during hepatic resection of rectal cancer metastasis between 2004 and 2016. Peri-operative data were collected. The primary outcome measure was the comprehensive complication index (CCI). The secondary outcomes were overall mortality, liver-related morbidity, duration of hospital stay and occurrence of gastrointestinal leaks. Statistical analysis was carried out using SPSS 23.0 software.ResultsThirty liver resections were included; 14 in the REVERSAL group (female/male = 11/19, age = 60 years). No statistically significant difference was observed in the CCI scores (15 vs. 20.8; P = 0.6). Complications occurred in 9 (64%) and 8 (50%) patients in the REVERSAL and NON-REVERSAL groups, respectively (P = 0.48). No gastro-intestinal leaks or post-operative mortality occurred.ConclusionStoma reversal during hepatectomy for liver metastasis from a primary rectal cancer represents a safe alternative since post-operative outcome was not associated with additional morbidity in this series.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Collections :

• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Source :

Harvested from HAL