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A double-lumen irrigation-suction tube placed during operation could reduce the risk of grade C anastomotic leakage resulting from selective sigmoid colon cancer radical resection

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Abstract

Aim

This study investigated the effect of a double-lumen irrigation-suction tube in reducing the incidence of grade C anastomotic leakage (AL) resulting from a selective sigmoid colon cancer radical resection.

Method

This multicenter retrospective cohort study reviewed data of patients receiving sigmoid colon cancer radical resection from January 2010 to November 2019. The enrolled patients were divided into the passive drainage tube group and the double-lumen irrigation-suction tube group, based on the use of a double-lumen irrigation-suction tube or a passive drainage tube during the surgery. The effect of double-lumen irrigation-suction tube on the incidence of grade C anastomotic leakage was evaluated.

Results

Of the 761 patients included in the study, 56 patients (7.36%) experienced AL. Of the 56 patients, 22 were diagnosed with grade C AL. The double-lumen irrigation-suction tube was a protective factor for forming a grade C AL compared with the passive drainage tube (OR = 0.194, 95% CI: 0.055–0.686, p = 0.011). Of the 34 patients with grade A or B AL, 26 patients had spontaneous closure—19 in the double-lumen irrigation-suction tube group and 7 in the passive drainage tube group. The double-lumen irrigation-suction tube (multivariable HR = 3.418, 95% CI: 1.43–11.203, p = 0.038) was associated with spontaneous closure of grade A or B AL.

Conclusion

Placing a double-lumen irrigation-suction tube may reduce the risk of grade C AL resulting from a selective sigmoid colon cancer radical resection. However, this study had substantial selection bias and the results should be reconfirmed by a randomized clinical trial.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Jinling Hospital, Nanjing, Jiangsu, China

    Fan Yang & Weliang Tian

  2. Department of General Surgery, Zhengzhou Central Hospital, Zhengzhou, Henan, China

    Dong Liu

  3. Department of General Surgery, Nanjing Jiangning Hospital, Hushan Road NO.169, Nanjing, Jiangsu, China

    Xin Xu, Zheng Yao & Risheng Zhao

  4. Department of General Surgery, Huaihe Hospital, Kaifeng, Henan, China

    Chaoyang Wang

Authors
  1. Fan Yang
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  2. Dong Liu
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  3. Xin Xu
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Contributions

Xin Xu, Chaoyang Wang, and Dong Liu collected and analyzed the data; Dong Liu and Weiliang Tian wrote the main manuscript text; Weiliang Tian and Fan Yang revised the manuscript; Xin Xu and Chaoyang Wang prepared figures. Risheng Zhao and Zheng Yao designed the research. Zheng Yao and Risheng Zhao equally contributed to the manuscript and are the corresponding authors. Fan Yang and Dong Liu were the first authors.

Corresponding authors

Correspondence to Zheng Yao or Risheng Zhao.

Ethics declarations

This multicenter retrospective cohort study was conducted at four centers. The local ethics committees of the respective institutions approved the retrospective data collection; all subjects provided signed informed consent.

Conflict of interest

The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study necessary.

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Yang, F., Liu, D., Xu, X. et al. A double-lumen irrigation-suction tube placed during operation could reduce the risk of grade C anastomotic leakage resulting from selective sigmoid colon cancer radical resection. Langenbecks Arch Surg 405, 1007–1016 (2020). https://doi.org/10.1007/s00423-020-01959-z

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  • DOI: https://doi.org/10.1007/s00423-020-01959-z

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