Endoluminal vacuum-assisted therapy as a treatment for anastomotic leakage in colorectal surgery  

作　　者：Maria Michela Chiarello Valentina Bianchi Pietro Fransvea Giuseppe Brisinda 

机构地区：[1]Department of Surgery,Azienda Sanitaria Provinciale di Cosenza,Cosenza 87100,Italy [2]Emergency Surgery and Trauma Center,Fondazione Policlinico Universitario A Gemelli IRCCS,Rome 00168,taly [3]Medical and Surgical Sciences,Fondazione Policlinico Universitario A Gemelli IRCCS,Rome 00168,Italy

出　　处：《World Journal of Gastroenterology》2022年第28期3747-3752,共6页世界胃肠病学杂志（英文版）

摘　　要：Anastomotic leakage(AL)has a wide range of clinical features ranging from radiological only findings to peritonitis and sepsis with multiorgan failure.An early diagnosis of AL is essential in order to establish the most appropriate treatment for this complication.Despite AL continues to be a dreadful complication after colorectal surgery,there has been no consensus on its management.However,based on patient’s presentation and timing of the AL,there has been a gradual shift to a more conservative management,keeping surgery as the last option Reoperation for sepsis control is rarely necessary especially in those patients who already have a diverting stoma at the time of the leak.A nonoperative management is usually preferred in these patients.There are several treatment options,also for patients without a stoma who do not require a reoperation for a contained pelvic leak,including recently developed endoscopic procedures,such as clip placement or endoluminal vacuum-assisted therapy.More conservative treatments could be an option in patients who are clinically stable or in presence of a small defect.

关 键 词：Anastomotic leakage Colorectal cancer Colorectal surgery MORTALITY MORBIDITY 

分 类 号：R656[医药卫生—外科学]