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直肠手术后吻合口漏的管理:一篇综述文章。

Management of anastomotic leakage after rectal surgery: a review article.

作者信息

Tsai Yuan-Yao, Chen William Tzu-Liang

机构信息

Division of Colorectal Surgery, Department of Surgery, China Medical University Hospital, Taichung.

出版信息

J Gastrointest Oncol. 2019 Dec;10(6):1229-1237. doi: 10.21037/jgo.2019.07.07.

DOI:10.21037/jgo.2019.07.07
PMID:31949944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6955017/
Abstract

Anastomotic leaks (ALs) are associated with increased perioperative morbidity and mortality, prolonged length of stay, higher readmission rates, the potential need for further operative interventions, and unintended permanent stomas; resulting in increased hospital costs and resource use, and decreased quality of life. This review article is to present definition, diagnosis and management strategies for AL after rectal surgery.

摘要

吻合口漏(ALs)与围手术期发病率和死亡率增加、住院时间延长、再入院率升高、可能需要进一步的手术干预以及意外永久性造口有关;导致医院成本和资源使用增加,以及生活质量下降。这篇综述文章旨在介绍直肠手术后吻合口漏的定义、诊断和管理策略。

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本文引用的文献

1
Different Risk Factors for Early and Late Colorectal Anastomotic Leakage in a Nationwide Audit.全国性审计中,早期和晚期结直肠吻合口漏的不同危险因素。
Dis Colon Rectum. 2018 Nov;61(11):1258-1266. doi: 10.1097/DCR.0000000000001202.
2
Combined repeat laparoscopy and transanal endolumenal repair (hybrid approach) in the early management of postoperative colorectal anastomotic leaks: technique and outcomes.联合重复腹腔镜和经肛门内镜下腔内修复术(杂交方法)在结直肠吻合口漏术后早期管理中的应用:技术和结果。
Surg Endosc. 2018 Nov;32(11):4472-4480. doi: 10.1007/s00464-018-6193-1. Epub 2018 May 1.
3
Gut microbiome influences on anastomotic leak and recurrence rates following colorectal cancer surgery.肠道微生物组对结直肠癌手术后吻合口漏和复发率的影响。
Br J Surg. 2018 Jan;105(2):e131-e141. doi: 10.1002/bjs.10760.
4
Colorectal anastomotic leak: delay in reintervention after false-negative computed tomography scan is a reason for concern.结直肠吻合口漏:计算机断层扫描假阴性后延迟再次干预是值得关注的原因。
Tech Coloproctol. 2017 Sep;21(9):709-714. doi: 10.1007/s10151-017-1689-6. Epub 2017 Sep 19.
5
Very Early Colorectal Anastomotic Leakage within 5 Post-operative Days: a More Severe Subtype Needs Relaparatomy.术后 5 天内的极早期结直肠吻合口漏:一种更严重的亚类型需要再次剖腹手术。
Sci Rep. 2017 Jan 13;7:39936. doi: 10.1038/srep39936.
6
The Clinical Utility of Over-the-Scope Clip for the Treatment of Gastrointestinal Defects.内镜下套扎夹治疗胃肠道缺损的临床应用价值
J Gastrointest Surg. 2016 Dec;20(12):1942-1949. doi: 10.1007/s11605-016-3282-0. Epub 2016 Sep 29.
7
Emerging Trends in the Etiology, Prevention, and Treatment of Gastrointestinal Anastomotic Leakage.胃肠道吻合口漏的病因、预防及治疗新趋势
J Gastrointest Surg. 2016 Dec;20(12):2035-2051. doi: 10.1007/s11605-016-3255-3. Epub 2016 Sep 16.
8
Management of Colorectal Anastomotic Leak.结直肠吻合口漏的管理
Clin Colon Rectal Surg. 2016 Jun;29(2):138-44. doi: 10.1055/s-0036-1580630.
9
Diagnostic Accuracy of Procalcitonin and C-reactive Protein for the Early Diagnosis of Intra-abdominal Infection After Elective Colorectal Surgery: A Meta-analysis.降钙素原和C反应蛋白对择期结直肠手术后腹腔内感染早期诊断的诊断准确性:一项Meta分析
Ann Surg. 2016 Aug;264(2):252-6. doi: 10.1097/SLA.0000000000001545.
10
Malnutrition in rectal cancer patients receiving preoperative chemoradiotherapy is common and associated with treatment tolerability and anastomotic leakage.接受术前放化疗的直肠癌患者营养不良很常见,且与治疗耐受性和吻合口漏相关。
Int J Colorectal Dis. 2016 Apr;31(4):877-84. doi: 10.1007/s00384-016-2507-8. Epub 2016 Feb 18.