Risk factors and prevention measures of anastomotic leak after right hemicolectomy for cancer.
10.3760/cma.j.cn.441530-20210225-00082
- VernacularTitle:右半结肠癌术后吻合口漏危险因素及防治措施的探讨
- Author:
Yi XIAO
1
Author Information
1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
- Publication Type:Journal Article
- Keywords:
Anastomotic leak;
Colonic neoplasms, right sided;
Prevention;
Right hemicolectomy;
Risk factors
- MeSH:
Anastomosis, Surgical/adverse effects*;
Anastomotic Leak/surgery*;
Colectomy;
Europe;
Humans;
Mesocolon/surgery*;
Neoplasms;
Retrospective Studies;
Risk Factors
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(6):487-492
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of anastomotic leak after right hemicolectomy for cancer is relatively low, but it may be misjudged. In recent years, the results of some multi-center or nationwide registration studies in Europe have shown that the incidence of anastomotic leak is significantly higher than that of eastern countries. The reasons of these differences may be the different nature of the studies, the lack of rigor in diagnostic criteria or diagnostic methods, the difference in the level of specialization of hospitals or surgeons, and so on. Timely treatment of preoperative comorbidities, reasonable selection of preoperative bowel preparation and anastomotic technique/method might reduce the occurrence of anastomotic leak. The current evidence shows complete mesocolic excision (CME) does not increase the risk of anastomotic leak. The clinical features of ileo-colic anastomotic leak are different from those of rectal surgery. The mild cases can be treated conservatively, and the severe cases are suggested to receive timely diverting ileostomy.
