【摘要】背景和目的一般认为,直肠癌患者切除术后吻合口瘘的发生会增加局部肿瘤复发的危险性,因此往往对于临床瘘发生风险高的患者选择行预防性造口。本研究旨在比较前切除术后吻合口瘘和肿瘤复发的相关关系,预防性造口作为分层分析。方法从结直肠癌登记数据库中,回顾性分析了自1991到2010年间接受低位前切除的直肠腺癌患者(癌距离肛门15cm或 Abstract BACKGROUND & OBJECTIVE: It is generally accepted that the occurrence of anastomotic fistula after resection in rectal cancer patients increases the risk of local tumor recurrence. Therefore, preventive stoma are often chosen for those patients at high risk of clinical fistula. The purpose of this study was to compare the correlation between anastomotic fistula and tumor recurrence after anterior resection and prophylactic ostomy as a stratified analysis. Methods From the colorectal cancer registry database, patients with rectal adenocarcinoma who underwent low anterior resection between 1991 and 2010 were retrospectively analyzed (cancer, 15 cm or more