Influencing factors of anastomotic leak after right hemicolon surgery and progress in diagnosis and treatment strategies.
10.3760/cma.j.issn.441530-20210220-00071
- Author:
Hao Yu ZHANG
1
;
Zhen Jun WANG
1
;
Jia Gang HAN
1
Author Information
1. Department of General Surgery, Beijing Chaoyang Hosptial, Capital Medical University, Beijing 100020, China.
- Publication Type:Journal Article
- Keywords:
Anastomotic leak;
Diagnosis and treatment;
Influencing factors;
Right hemicolectomy
- MeSH:
Anastomosis, Surgical/adverse effects*;
Anastomotic Leak/surgery*;
Colectomy;
Colon/surgery*;
Humans;
Indocyanine Green
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(6):544-549
- CountryChina
- Language:Chinese
-
Abstract:
Anastomotic leak is one of the most severe complications following right hemicolectomy but rarely happens, which should be diagnosed based on clinical manifestations, laboratory and radiographic examinations. Influencing factors of anastomotic leak after right hemicolectomy include bowel preparation, emergency surgery, anastomotic procedure (side-to-side anastomosis vs. end-to-side anastomosis, instrument anastomosis vs. manual technigue and intracorporeal vs. extracorporeal anastomosis), surgical resection range and patient's characteristics. The occurrence of anastomotic leak might be avoided by standardized operations and indocyanine green fluorescence imaging. Active treatment is recommended once anastomotic leak is diagnosed. Most patients can be cured by non-surgical treatments such as adequate drainage and anti-infection therapy. When severe sepsis happens or non-surgical treatment fails, surgical treatment should be carried out in time.
