von Heesen Maximilian, Ghadimi Michael
Klinik für Allgemein‑, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Chirurgie (Heidelb). 2024 Nov;95(11):878-886. doi: 10.1007/s00104-024-02180-0. Epub 2024 Oct 10.
A leakage of a colorectal anastomosis represents a severe complication in visceral surgery. An anastomotic insufficiency (AI) is a potentially life-threatening complication for patients that carries a high risk of subsequent complications and long-term stoma care. Numerous factors influence the risk of AI. Knowing and being able to estimate these factors are essential for successful treatment in colorectal surgery as they help determine the surgical strategy. The recognition of an AI can be challenging for practitioners due to the variability in the clinical presentation. If the presence of AI is suspected appropriate diagnostic measures must therefore be taken. If an AI has occurred a colorectal specialist should definitely be involved in the treatment as this can significantly reduce further complications and the rate of permanent stomas.
结直肠吻合口漏是腹部外科的一种严重并发症。吻合口漏（AI）对患者来说是一种潜在的危及生命的并发症，具有后续并发症和长期造口护理的高风险。许多因素会影响吻合口漏的风险。了解并能够评估这些因素对于结直肠手术的成功治疗至关重要，因为它们有助于确定手术策略。由于临床表现的变异性，临床医生识别吻合口漏可能具有挑战性。因此，如果怀疑存在吻合口漏，必须采取适当的诊断措施。如果发生了吻合口漏，结直肠专科医生肯定应该参与治疗，因为这可以显著减少进一步的并发症和永久性造口的发生率。
