|Table of Contents|

Risk factor of parastomal hernia after abdominoperineal excision for rectal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 04
Page:
690-693
Research Field:
Publishing date:

Info

Title:
Risk factor of parastomal hernia after abdominoperineal excision for rectal cancer
Author(s):
SHEN Jian; LI Minzhe
Department of General Surgery,Beijing Chao-Yang Hospital Affiliated to Capital Medical University,Beijing 100020,China.
Keywords:
parastomal hernia; rectal neoplasms; abdominoperineal excision; multivariate analysis; obesity
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2023.04.018
Abstract:
Objective:To analyze the risk factors of parastomal hernia after abdominoperineal resection (APR) for rectal cancer.Methods：The clinical data of 163 patients with low rectal cancer who underwent APR in the department of general surgery of our hospital from January 2008 to December 2018 were retrospectively analyzed.The incidence of parastomal hernia was followed up,and the possible factors influencing the occurrence of parastomal hernia were analyzed by univariate analysis and multivariate Logistic regression analysis.Results：The incidence of parastomal hernia after APR was 17.79%.There were 19 cases of type I (65.52%),4 cases of type II (13.79%),4 cases of type III (13.79%) and 2 cases of type IV (6.90%).The median time of parastomal hernia was 18 months (range,5~30 months).Univariate analysis showed that age≥65 years,BMI≥28 kg/m2,transabdominal stoma,operation time>4 h were associated with the occurrence of parastomal hernia after APR (P＜0.05).Multivariate logistic regression analysis showed that BMI≥28 kg/m2 was an independent risk factor for parastomal hernia after APR(OR=4.202,P＜0.05).Conclusion：BMI≥28 kg/m2 is an independent risk factor for the occurrence of parastomal hernia after APR.For obese patients with low rectal cancer,reasonable prevention and treatment measures should be taken to reduce the incidence of parastomal hernia after APR.

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