TY - JOUR
T1 - Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer
AU - Manabe, Tatsuya
AU - Mizuuchi, Yusuke
AU - Tsuru, Yasuhiro
AU - Kitagawa, Hiroshi
AU - Fujimoto, Takaaki
AU - Koga, Yasuo
AU - Nakamura, Masafumi
AU - Noshiro, Hirokazu
N1 - Funding Information:
The authors thank Dr. Atsushi Kawaguchi of the Center for Comprehensive Community Medicine at the Faculty of Medicine of Saga University for his valued assistance in the statistical analyses of this study. We thank Cathel Kerr, BSc, PhD, from Edanz (https://jp.edanz.com/ac ) for editing a draft of this manuscript.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: In contrast to open-surgery abdominoperineal excision (APE) for rectal cancer, postoperative perineal hernia (PPH) is reported to increase after extralevator APE and endoscopic surgery. In this study, therefore, we aimed to determine the risk factors for PPH after endoscopic APE. Methods: A total 73 patients who underwent endoscopic APE for rectal cancer were collected from January 2009 to March 2020, and the risk factors for PPH were analyzed retrospectively. Results: Nineteen patients (26%) developed PPH after endoscopic APE, and the diagnosis of PPH was made at 9–393 days (median: 183 days) after initial surgery. Logistic regression analysis showed that absence of pelvic peritoneal closure alone increased the incidence of PPH significantly (odds ratio; 13.76, 95% confidence interval; 1.48–1884.84, p = 0.004). Conclusions: This preliminary study showed that pelvic peritoneal closure could prevent PPH after endoscopic APE.
AB - Background: In contrast to open-surgery abdominoperineal excision (APE) for rectal cancer, postoperative perineal hernia (PPH) is reported to increase after extralevator APE and endoscopic surgery. In this study, therefore, we aimed to determine the risk factors for PPH after endoscopic APE. Methods: A total 73 patients who underwent endoscopic APE for rectal cancer were collected from January 2009 to March 2020, and the risk factors for PPH were analyzed retrospectively. Results: Nineteen patients (26%) developed PPH after endoscopic APE, and the diagnosis of PPH was made at 9–393 days (median: 183 days) after initial surgery. Logistic regression analysis showed that absence of pelvic peritoneal closure alone increased the incidence of PPH significantly (odds ratio; 13.76, 95% confidence interval; 1.48–1884.84, p = 0.004). Conclusions: This preliminary study showed that pelvic peritoneal closure could prevent PPH after endoscopic APE.
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U2 - 10.1186/s12893-022-01538-7
DO - 10.1186/s12893-022-01538-7
M3 - Article
C2 - 35260127
AN - SCOPUS:85126079757
SN - 1471-2482
VL - 22
JO - BMC Surgery
JF - BMC Surgery
IS - 1
M1 - 88
ER -
