直肠癌低位前切除术后吻合口漏。
Anastomotic leakage following low anterior resection for rectal cancer.
机构信息
Surgical Department, European Medical Center, Antheon 1, Panorama, 55236 Thessaloniki, Greece.
出版信息
Tech Coloproctol. 2010 Nov;14 Suppl 1:S35-7. doi: 10.1007/s10151-010-0620-1.
AIM
Aim of this study is to present the incidence of anastomotic leakage after anterior resection for rectal cancer and to demonstrate the therapeutic approach for the treatment of this complication.
PATIENTS AND METHODS
Between 1990 and 2009, 170 patients underwent low anterior resection with total mesorectal excision (TME).
RESULTS
A total of 14 (8.2%) anastomotic leaks were confirmed. Reoperation was carried out in six patients with major leaks. Eight patients with minor leaks were treated conservatively by nutritional support and antibiotic therapy.
CONCLUSION
The incidence of anastomotic leakage after anterior resection of the rectum for rectal cancer is relatively low.
目的
本研究旨在报告直肠癌前切除术吻合口漏的发生率，并展示治疗这种并发症的方法。
患者和方法
1990 年至 2009 年间，170 例患者接受了低位前切除术和全直肠系膜切除术（TME）。
结果
共有 14 例（8.2%）吻合口漏得到证实。6 例严重漏的患者进行了再次手术。8 例轻微漏的患者通过营养支持和抗生素治疗进行保守治疗。
结论
直肠癌前切除术吻合口漏的发生率相对较低。
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