Liver and Peritonectomy Unit, St George Hospital, Kogarah, NSW, Australia.
School of Medicine, University of New South Wales, Sydney, Australia.
Langenbecks Arch Surg. 2024 Jul 13;409(1):214. doi: 10.1007/s00423-024-03410-z.
Ensuring optimal colonic perfusion is a critical step in every colorectal anastomosis. The aim of this study is to describe the concept of epiploic steal.
A literature review was performed to identify studies evaluating anastomotic blood supply. The fundamental principle of epiploic steal is outlined.
Epiploic steal has not been previously evaluated in the literature, and likely has a negative effect on colonic blood supply. Resection of colonic epiploicae may improve perfusion at the distal most lengths of a mobilised colonic conduit where the anastomosis requires it.
This novel concept has the potential to change practice and reduce colorectal anastomotic leak rates. Further clinical studies are required.
确保结肠的最佳灌注是每一次结直肠吻合的关键步骤。本研究的目的是描述网膜盗血的概念。
进行文献回顾，以确定评估吻合血供的研究。概述了网膜盗血的基本原则。
网膜盗血在文献中尚未被评估，可能对结肠血供产生负面影响。切除结肠网膜可能会改善需要吻合的游离结肠管的远段的灌注。
这个新概念有可能改变实践并降低结直肠吻合口漏的发生率。需要进一步的临床研究。
