Incidence of anastomotic leakage after rectal cancer surgery without bowel preparation.

摘要

We have read with great interest the article by Bretagnol et al, who examined the postoperative outcomes in patients undergoing sphincter-saving rectal resection for cancer without preoperative mechanical bowel preparation (MBP) with a single-blinded, multicentre randomized trial. They showed that rectal cancer. surgery without MBP was associated with higher risk of overall and infectious morbidity rates without any significant increase of anastomotic leakage rate. They suggested continuing to perform MBP before elective rectal resection for cancer. However, to conclude that anastomotic leakage rate does not significantly increase in the non-MBP group, there are 2 major points that need further discussion.