Analysis of high risk factors of anastomotic leakage after colon cancer surgery
10.3760/cma.j.issn.1673-4904.2011.20.012
- VernacularTitle:结直肠癌术后吻合口瘘53例高危因素分析
- Author:
Meiwen HE
;
Zheng LIU
;
Zhijun BAI
;
Ding YU
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Anastomotic leakage;
High risk factors
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(20):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the high risk factors of anastomotic leakage after colon cancer surgery ,so as to provide evidence for the prevention of anastomotic leakage. Methods Fifty-three patients with anastomotic leakage after colon cancer surgery of 916 cases were selected as research objects,then the correlation between systemic factors,local factors and occurrence of anastomotic leakage was analyzed and studied. Results The correlation between age, ASA grade, serum hemoglobin, red blood cell, total protein, fasting blood glucose of systemic factors except for sex and occurrence of anastomotic leakage was obvious (P< 0.05). There was correlation between the methods of anastomosis, anastomotic tension, setting position of drainage tube, intestinal obstruction, abdominal infection and degree of tumor differentiation except for with or without chemotherapy and radiotherapy and occurrence of anastomotic leakage(P < 0.05). Conclusion The high risk factors of anastomotic leakage after colon cancer surgery are multiple,and well various work should be done during perioperative period.
