Status and progress of the research of preventing anastomosis leakage
10.3760/cma.j.issn.1673-4203.2012.12.013
- VernacularTitle:预防吻合口瘘的研究现状与进展
- Author:
Haibo ZHAO
;
Bujun GE
;
Qi HUANG
- Publication Type:Journal Article
- Keywords:
Anastomotic leak;
Rectal neoplasms;
Biofragmentable anastomosis ring;
Enterostomy;
Postoperative complication;
Preventive
- From:
International Journal of Surgery
2012;(12):832-836,封3
- CountryChina
- Language:Chinese
-
Abstract:
Anastomotic leak belongs to the serious complications of low anterior resection with high morbidity and fatality.In recent decades,many strategies aimed at lowering the incidence of anastomotic leakage have been developed.This review focused on the methods for preventing anastomotic leakage through searching PudMed and Wanfang data for all related papers.Strategies were categorised as defunctioning stoma,transcecal catheter ileostomy,indwelling rectal tube,valtrac-secured intracolonic bypass technique,free take-back ileostomy.Every strategy has its own advantages and disadvantages.But to date,except defunctioning stoma,none of the methods has been widely accepted due to the lack of high level evidences.However,free take-back ileostomy can avoid stoma related complication and readmission for closure and its initial effect is good,so deserve to further research.