结直肠手术中的吻合口漏：75%可预防吗？
Anastomotic leak in colorectal surgery: are 75 % preventable?
作者信息
Shekarriz Hodjat, Eigenwald Janina, Shekarriz Bijan, Upadhyay Jyoti, Shekarriz Jasmin, Zoubie Danny, Wedel Thilo, Wittenburg Henning
机构信息
Department of Surgery, Helios Klinikum Schleswig, Lutherstr 22, 24837, Schleswig, Germany.
Children's Hospital of the King's Daughters, Eastern Virginia Medical School, 601 Children Lane, Norfolk, VA, 23510, USA.
出版信息
Int J Colorectal Dis. 2015 Nov;30(11):1525-31. doi: 10.1007/s00384-015-2338-z. Epub 2015 Aug 29.
INTRODUCTION
Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources.
MATERIALS AND METHODS
In this study, we investigated the impact of anastomosis technique on the rate of anastomotic leak. The rate of leak was compared between two groups performing end-to-end (E-E) vs. side-to-end (S-E) anastomosis. The impact of various risk factors was also compared between the two groups.
RESULTS
There were 382 E-E and 363 S-E anastomoses after left colectomy or rectal resections. The anastomotic leak rate was 8.64 % using E-E compared to 1.93 % using S-E anastomosis technique (p < 0.001).
CONCLUSIONS
These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique.
引言
吻合口漏（AL）是结直肠手术并发症相关发病和死亡的重要原因。此外，吻合口漏会导致住院时间延长和医疗资源成本显著增加。
材料与方法
在本研究中，我们调查了吻合技术对吻合口漏发生率的影响。比较了进行端端（E-E）吻合与端侧（S-E）吻合的两组之间的漏率。还比较了两组之间各种风险因素的影响。
结果
左半结肠切除术或直肠切除术后有382例端端吻合和363例端侧吻合。端端吻合的吻合口漏率为8.64%，而端侧吻合技术的漏率为1.93%（p<0.001）。
结论
这些结果表明，采用端侧吻合技术可显著降低左半结肠和直肠切除术后的吻合口漏率。
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