Anastomotic leakage following low anterior resection for rectal cancer.
Summary of "Anastomotic leakage following low anterior resection for rectal cancer."
AIM:
Aim of this study is to present the incidence of anastomotic leakage after anterior resection for rectal cancer and to demonstrate the therapeutic approach for the treatment of this complication. PATIENTS AND
METHODS:
Between 1990 and 2009, 170 patients underwent low anterior resection with total mesorectal excision (TME).
RESULTS:
A total of 14 (8.2%) anastomotic leaks were confirmed. Reoperation was carried out in six patients with major leaks. Eight patients with minor leaks were treated conservatively by nutritional support and antibiotic therapy.
CONCLUSION:
The incidence of anastomotic leakage after anterior resection of the rectum for rectal cancer is relatively low.
Affiliation
Surgical Department, European Medical Center, Antheon 1, Panorama, 55236, Thessaloniki, Greece.
Journal Details
This article was published in the following journal.
Name: Techniques in coloproctology
ISSN: 1128-045X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20694497
- DOI: http://dx.doi.org/10.1007/s10151-010-0620-1
Medical and Biotech [MESH] Definitions
Anastomotic Leak
Breakdown of the connection and subsequent leakage of digestive system fluid from a SURGICAL ANASTOMOSIS of digestive system structures. Most common leakages are from breakdown of the sutured lines in gastrointestinal or bowel anastomosis.
Rectal Neoplasms
Tumors or cancer of the RECTUM.
Seer Program
A cancer registry mandated under the National Cancer Act of 1971 to operate and maintain a population-based cancer reporting system, reporting periodically estimates of cancer incidence and mortality in the United States. The Surveillance, Epidemiology, and End Results (SEER) Program is a continuing project of the National Cancer Institute of the National Institutes of Health. Among its goals, in addition to assembling and reporting cancer statistics, are the monitoring of annual cancer incident trends and the promoting of studies designed to identify factors amenable to cancer control interventions. (From National Cancer Institute, NIH Publication No. 91-3074, October 1990)
Salt Gland
A compound tubular gland, located around the eyes and nasal passages in marine animals and birds, the physiology of which figures in water-electrolyte balance. The Pekin duck serves as a common research animal in salt gland studies. A rectal gland or rectal salt gland in the dogfish shark is attached at the junction of the intestine and cloaca and aids the kidneys in removing excess salts from the blood. (Storer, Usinger, Stebbins & Nybakken: General Zoology, 6th ed, p658)
Rectal Prolapse
Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.
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