Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study): A nationwide retrospective study of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative Group.
Maurizio DegiuliUgo ElmoreRaffaele De LucaPaola De NardiMariano TomatisAlberto BiondiRoberto PersianiLeonardo SolainiGianluca RizzoDomenico SorieroDesiree CianfloccaMarco MiloneGiulia TurriDaniela RegaPaolo DelrioCorrado PedrazzaniGiovanni D De PalmaFelice BorghiStefano ScabiniClaudio CocoDavide CavaliereMichele SimoneRiccardo RosatiRossella Reddavidnull nullPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2021)
While a defunctioning stoma did not affect the leak risk, it significantly reduced its severity. Surgeons should recognize independent risk factors for leaks at the end of rectal resection and could calculate a risk score to select high-risk patients eligible for protective stoma construction.