Risk factor and early diagnosis of anastomotic leakage after rectal cancer surgery.
10.3760/cma.j.cn441530-20220827-00357
- Author:
Wei Kun SHI
1
;
Xiao Yuan QIU
2
;
Yun Hao LI
1
;
Guo Le LIN
1
Author Information
1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
2. Department of Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Anastomotic Leak/surgery*;
Rectal Neoplasms/complications*;
Rectum/surgery*;
Risk Factors;
Early Diagnosis
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(11):981-986
- CountryChina
- Language:Chinese
-
Abstract:
Anastomotic leakage (AL) is one of the most serious complications after sphincter- preserving surgery for rectal cancer, which can significantly prolong the length of stay of patients, increase perioperative mortality, cause dysfunction, shorten overall survival and recurrence-free survival of patients. In order to reduce the serious consequences caused by AL, prediction of AL through preoperative and intraoperative risk factors are of great importance. However, the influences of neoadjuvant chemoradiotherapy, protective stoma, laparoscopic surgery and some intraoperative manipulations on AL are still controversial. Through the auxiliary judgment of anastomotic blood supply during operation, such as indocyanine green imaging, hemodynamic ultrasound, etc., it is expected to achieve the source control of AL. Early diagnosis of AL can be achieved by attention to clinical manifestations and drainage, examination of peripheral blood, drainage and intestinal flora, identification of high risk factors such as fever, diarrhea and increased infectious indicators, and timely administration of CT with contrast enema.
