In Low Rectal Anastomosis After Total Root Cause Analysis And Preventive Colostomy Necessity

Objective: To investigate rectum in low rectal anterior resectionanastomotic fistula after anterior resection and whether you need regular preventivecolostomy. Methods: For low rectal cancer (2010.01-2012.10from the anal2-8cm)in our hospital clinical data of rectal anterior resection（open surgery and laparoscopicsurgery） in150patients were retrospectively analyzed and summarized. Results: inthis group, there were18cases (12%) in3-13days postoperative anastomoticfistula.Among which80were male,14cases had anastomotic fistula, female70cases,4cases of anastomotic fistula; Low (5cm or less) with65cases, anastomotic fistula in12patients, the median (more5cm)85cases, anastomotic fistula,6cases;4caseswere preoperative intestinal obstruction, anastomotic fistula in1case. Laparoscopicgroup86cases,9cases of anastomotic fistula, open group64cases,9cases ofanastomotic fistula；18cases were anastomotic fistula，In8cases the originalpreventive colostomy, all recovered after conservative treatment,10cases withoutpreventive colostomy, there are6cases recovered after conservative treatment,4cases after invalid conservative treatment to change professions to heal after surgery.Conclusion: Anastomotic fistula occurred mainly with gender, tumor location, degreeof hypoalbuminemia and tumor stage and so on factors, whether to choose preventivecolostomy should according to the high risk factors, individual, select preventiveduring intestinal fistula.