Use of pedicled omentum in the prevention of anastomotic leakage after resection of obstructive colorectal cancer
10.3760/cma.j.issn.1007-631X.2017.01.008
- VernacularTitle:带蒂大网膜预防梗阻性结直肠癌术后吻合口瘘的疗效
- Author:
Yingjun LIU
;
Gangcheng WANG
;
Xiangbin WAN
;
Yong CHENG
;
Youcai WANG
;
Xiaoyong LIU
;
Guangsen HAN
- Keywords:
Colorectal neoplasms;
Anastomotic leak;
Omentum;
Intestinal obstruction
- From:
Chinese Journal of General Surgery
2017;32(1):23-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects of pedicled omentum in preventing anastomotic leakage after resection of colorcctal cancer complicated with intestinal obstruction.Methods The clinicopathologic data and anastomotic leakage rate of 102 patients with colorectal cancer undergoing resection from Dec.2012 to Dec.2015 were analyzed.Results Seven patients in the control group developed anastomotic leakage.Only 1 patient in the experimental group developed anastomotic leakage.The incidence of anastomotic leakage in the control group was 12％,while that in the experimental group was 2％ (x2 =4.250,P =0.039).Of the 7 patients complicating anastomotic leakage in control group,1 died of multiple organ failure,1 was cured with conservative treatment,and 5 were done with diverting stoma.The one leakage in experimental group was cured by conservative treatment.Conclusion Pedicled omentum is useful in the prevention of anastomotic leakage after resection of colorectal cancer in settings of intestinal obstruction.
