The Cause and Management of Anastomotic Leakage Following Low Anterior Excision of Rectal Cancer
- VernacularTitle:直肠癌前切除吻合口瘘的原因及防治
- Author:
Jianming ZHANG
;
Yanjun SU
;
Ruochuan CHENG
;
Chang DIAO
;
Qiyu LIU
;
Yong HUANG
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Dixon operation;
Anastomotic fistula
- From:
Journal of Kunming Medical University
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the cause and diagnosis of anastomotic fistula following low anterior excision of rectal cancer,and its management and prevention measures.Methods Retrospectively analyzed the clinical data of 6 patients with anastomotic leakage underwent anterior excision of rectal cancer.Results 115 patients accepted anterior excision of rectal cancer,6 patients developed anastomotic fistula.5 patients are cured with effective pelvic drainage and 1 case with ileostomy and pelvic drainage.Conclusions Anastomotic fistula is one of the most serious complications related to pre-operative preparation,blood supply and anastomotic tension,intra-operative technigues and effective of drainage.It can be avoided or reduced by different prophylactic measures.
