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结直肠手术后早期和晚期吻合口漏:文献系统综述

Early and late anastomotic leak after colorectal surgery: A systematic review of the literature.

作者信息

Škrabec Clara Gené, Carné Anna Vidal, Pérez Manel Cremades, Corral Javier, Pujol Andrea Fernández, Cuadrado Marta, Troya José, Ibáñez Joan-Francesc Julián, Parés David

机构信息

Department of General Surgery, Hospital Universitari Germans Trias i Pujol, School of Medicine, Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain.

Department of General Surgery, Hospital Universitari Germans Trias i Pujol, School of Medicine, Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain.

出版信息

Cir Esp (Engl Ed). 2023 Jan;101(1):3-11. doi: 10.1016/j.cireng.2022.07.011. Epub 2022 Jul 23.

Abstract

The aim of this study was to review and to assess the quality of the scientific articles regarding early and late anastomotic leak (AL) after colorectal surgery and their risk factors. An electronic systematic search for articles on Colorectal Surgery, AL and its timing was undertaken using the MEDLINE database via PubMed, Cochrane and Embase. The selected articles were thoroughly reviewed and assessed for methodological quality using a validated methodology quality score (MINCIR score). This review was registered in the PROSPERO registry under ID: CRD42022303012. 9 articles were finally reviewed in relation to the topic of early and late anastomotic leak. There is a lack of consensus regarding the exact cut-off in time to define early and late anastomotic leak, but it is clear that they are two differentiated entities. The first, occurring in relation to technical factors; whereas the latter, is related to impaired healing.

摘要

本研究的目的是回顾和评估关于结直肠手术后早期和晚期吻合口漏(AL)及其危险因素的科学文章的质量。通过PubMed、Cochrane和Embase使用MEDLINE数据库对有关结直肠手术、AL及其发生时间的文章进行了电子系统检索。使用经过验证的方法学质量评分(MINCIR评分)对所选文章进行了全面回顾和方法学质量评估。本综述已在PROSPERO注册中心注册,注册号为:CRD42022303012。最终共回顾了9篇关于早期和晚期吻合口漏主题的文章。关于定义早期和晚期吻合口漏的确切时间界限,目前尚无共识,但很明显它们是两个不同的实体。前者与技术因素有关;而后者则与愈合受损有关。

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