Efficacy of intracorporeal reinforcing sutures for @entity834 after laparoscopic surgery for XXXX .

@entity5 @entity1 @entity834
BACKGROUND: The aim of the present study was to investigate the efficacy of intracorporeal reinforcing sutures for preventing @entity834 ( @entity834 ) after laparoscopic surgery for @entity5 . METHODS: This was a retrospective single-institution study consisting of 201 consecutive @entity1 who underwent laparoscopic proctectomy with double-stapling anastomosis for primary @entity5 between August 2007 and December 2013. The data for @entity1 who received intracorporeal reinforcing sutures were compared with those of @entity1 who did not receive reinforcing sutures. @entity1 -, @entity5 - and surgery-related variables were collected and examined using univariate and multivariate analyses. RESULTS: The overall incidence of @entity834 was 9.0  % (18/201). No significant correlations were observed between the various clinicopathological factors and the use of reinforcing sutures. The multivariate analyses revealed the distance of the @entity5 from the anal verge, @entity5 size and presence of reinforcing sutures to be independent risk factors for @entity834 . We classified the @entity1 into two risk groups using a combination of the @entity5 site and @entity5 size: a low-risk group ( @entity1 without any risk factors, n  =  134) and a high-risk group ( @entity1 with one or two risk factors, n  =  67). The frequency of @entity834 was significantly lower (p  <  0.02) in the @entity1 treated with reinforcing sutures than in those treated without reinforcing sutures in the high-risk group. However, no significant differences were observed in the low-risk group. CONCLUSIONS: The use of intracorporeal reinforcing sutures may reduce the incidence of @entity834 . A prospective randomized trial is required to evaluate the effects of reinforcing sutures in preventing @entity834 .
