Sevim Yusuf, Celik Suleyman Utku, Yavarifar Hana, Akyol Cihangir
Yusuf Sevim, Department of General Surgery, Ankara Numune Training and Research Hospital, 06100 Ankara, Turkey.
World J Gastrointest Surg. 2016 Sep 27;8(9):621-626. doi: 10.4240/wjgs.v8.i9.621.
Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient's quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks.
吻合口漏是结直肠手术中一种不良并发症。这种令人苦恼的情况可导致严重的发病情况,并显著影响患者的生活质量。额外的干预措施可能会导致更多的发病情况和死亡。肠外营养和临时性转流造口术是吻合口漏的标准治疗方法。然而,吻合口裂开的微创治疗方式的技术发展已使其得到广泛应用。这些方式包括腹腔镜修补、内镜下自膨式金属支架、内镜夹、套扎夹、经肛门修补和经肛门海绵。本综述旨在概述目前关于吻合口漏微创管理的知识。