[Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis]. / Rol' ukrepleniia kolorektal'nogo anastomoza dlia profilaktiki ego nesostoiatel'nosti: sistematicheskii obzor literatury i metaanaliz.
Khirurgiia (Mosk)
; (8): 53-58, 2019.
Article
em Ru
| MEDLINE
| ID: mdl-31464275
ABSTRACT
OBJECTIVE:
To evaluate the influence of reinforcement of staple line of colorectal anastomosis on the incidence of leakage. MATERIAL ANDMETHODS:
A systematic review was performed in accordance with the PRISMA recommendations. Statistical analysis was carried out in the Review Manager 5.3 software.RESULTS:
This trial included four original articles published in 2011-2018. There were 493 patients. Reinforcement of anastomosis was made in 232 (47%) cases, colorectal anastomosis was not reinforced in 261 (53%) patients. Anastomotic leakage rate was 5.6 and 11.1% in both groups, respectively (OR 0.55, CI 0.13-2.33; p=0.42). Transabdominal reinforcement reduced leakage rate by 10.2% (OR 0.18, CI 0.06-0.55; p=0.002) while transanal reinforcement was ineffective (OR 1.66, CI 0.38-7.19; p=0,5). Incidence of preventive stoma was similar (OR 0.3, CI 0.07-1.22; p=0.09), but it was possible to abandon preventive stoma in 18% of cases after anastomotic reinforcement.CONCLUSION:
A small number of studies dedicated to anastomosis reinforcement resulted controversial data.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retais
/
Reto
/
Anastomose Cirúrgica
/
Colo
/
Fístula Anastomótica
/
Protectomia
Tipo de estudo:
Etiology_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Federação Russa