[Effects of Conservative or Surgical Treatment of Anastomotic Leakage after Colorectal Surgery].
Gan To Kagaku Ryoho
; 49(3): 336-338, 2022 Mar.
Article
de Ja
| MEDLINE
| ID: mdl-35299198
ABSTRACT
BACKGROUND:
Anastomotic leakage is associated with short- and long-term mortality and an increased risk of local and distant cancer recurrence. This study aimed to investigate the short- and long-term outcomes after surgical or conservative therapy for anastomotic leakage.METHODS:
Patients with anastomotic leakage after undergoing colorectal resection between January 2011 and December 2018 were identified and grouped according to the therapy for anastomotic leakage surgical or conservative. We analyzed the intergroup differences in clinicopathological factors and outcomes.RESULTS:
Of the 33 patients with anastomotic leakage, 21(64%)and 12(36%)patients received surgical therapy and conservative therapy, respectively. Patients in the conservative therapy group had a shorter length of hospital stay after the first operation. In patients with UICC Stage â ¡/â ¢, both overall and recurrence-free survival were significantly worse in those who were treated conservatively than in patients who were surgically treated(p<0.01).CONCLUSION:
Conservative therapy for anastomotic leakage could shorten the length of hospital stay, but could negatively affect long-term outcomes.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Procédures de chirurgie digestive
/
Chirurgie colorectale
Type d'étude:
Etiology_studies
/
Prognostic_studies
Limites:
Humans
Langue:
Ja
Journal:
Gan To Kagaku Ryoho
Année:
2022
Type de document:
Article