Division of Colorectal Surgery, Grand Rapids Medical Education Partners, Michigan State University, Ferguson Clinic, Grand Rapids, MI, USA.
Division of Colorectal Surgery, Grand Rapids Medical Education Partners, Michigan State University, Ferguson Clinic, Grand Rapids, MI, USA.
Am J Surg. 2014 Mar;207(3):371-4; discussion 374. doi: 10.1016/j.amjsurg.2013.09.009. Epub 2013 Dec 11.
Despite the proven benefits of laparoscopic colorectal surgery, the rate of anastomotic leaks has not changed. This study looks at the time of presentation of anastomotic leaks between laparoscopic and open colectomies.
Retrospective chart review was performed between July 2008 and 2012. Two groups were created, laparoscopic and open. The time of presentation of significant leaks requiring reoperation were compared between the groups by index colectomies. Statistical analysis is presented as paired t test and chi-square test (P < .05).
From 1,424 segmental colectomies, the anastomotic leak rate between the two groups was not statically significant (P = .69). No difference in the time of leak detection was evident (P = .67). Mortality rate was equal between the groups. The overall complication rate of the entire cohort was statically significant (P ≤ .001).
The timing of anastomotic leak detection does not differ between laparoscopy and open colorectal resections.
尽管腹腔镜结直肠手术已被证实具有优势，但吻合口漏的发生率并未改变。本研究旨在观察腹腔镜和开腹结肠切除术吻合口漏的发生时间。
回顾性分析 2008 年 7 月至 2012 年期间的病历资料。将患者分为腹腔镜组和开腹组。通过指数结肠切除术比较两组需要再次手术的吻合口漏的出现时间。统计分析采用配对 t 检验和卡方检验（P<.05）。
在 1424 例节段性结肠切除术中，两组的吻合口漏发生率无统计学意义（P=0.69）。两组漏诊时间无明显差异（P=0.67）。两组死亡率相当。整个队列的总体并发症发生率有统计学意义（P≤0.001）。
腹腔镜和开腹结直肠切除术后吻合口漏的检出时间无差异。
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