Risk factors and prevention measures of anastomotic leak after right hemicolectomy for cancer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 487-492, 2021.
Article
em Zh
| WPRIM
| ID: wpr-942914
Biblioteca responsável:
WPRO
ABSTRACT
The incidence of anastomotic leak after right hemicolectomy for cancer is relatively low, but it may be misjudged. In recent years, the results of some multi-center or nationwide registration studies in Europe have shown that the incidence of anastomotic leak is significantly higher than that of eastern countries. The reasons of these differences may be the different nature of the studies, the lack of rigor in diagnostic criteria or diagnostic methods, the difference in the level of specialization of hospitals or surgeons, and so on. Timely treatment of preoperative comorbidities, reasonable selection of preoperative bowel preparation and anastomotic technique/method might reduce the occurrence of anastomotic leak. The current evidence shows complete mesocolic excision (CME) does not increase the risk of anastomotic leak. The clinical features of ileo-colic anastomotic leak are different from those of rectal surgery. The mild cases can be treated conservatively, and the severe cases are suggested to receive timely diverting ileostomy.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Anastomose Cirúrgica
/
Estudos Retrospectivos
/
Fatores de Risco
/
Colectomia
/
Europa (Continente)
/
Fístula Anastomótica
/
Mesocolo
/
Neoplasias
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2021
Tipo de documento:
Article