Prevention and treatment of anastomotic leakage following anterior resection for low rectal cancer
- VernacularTitle:低位直肠癌保肛术后吻合口瘘防治
- Author:
Guang-Sen HAN
;
Yu-Zhou ZHAO
;
Xiang-Bin WAN
;
Zhi LI
;
Yong-Chao XU
;
Gang-Chen WANG
;
Jian ZHANG
;
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Colorectal surgery;
Postoperative complication;
Stomas;
Fis-tula
- From:
Cancer Research and Clinic
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze retrospectively the clinico-pathological features that influencing the occurrence of anastomotie leakage after low anterior resection of rectal cancer, as well as its management and outcome of patients. Methods The data of 513 patients underwent anterior resection for low rectal cancer from june 1999 to June 2007 were reviewed. Results The incidence of anastomotic leakage was 4.5 %(23/ 513). 20 patients underwent conservative therapy,while 3 patients underwent reoperation, all patients were cured without ileostomy or colostomy.Conclusion The occurrence rate of anastomotie leakage is closely re- lated to the type of operation,the Dukes staging,Diabetes Mellitus and Diarrhea. Local irrigation via the drainage tube is the main strategic point to manage the leakage.
