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中华普外科手术学杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 587 -590. doi: 10.3877/cma.j.issn.1674-3946.2021.05.033

综述

直肠癌前切除术吻合口漏预防及治疗
余向南1, 付达安1, 戴拯1, 张鹏1, 尹玉平1, 蔡明1, 陈俊华1, 蔡开琳1, 陶凯雄1, 王征1(), 王国斌1,()   
  1. 1. 430022 武汉,华中科技大学同济医学院附属协和医院胃肠外科
  • 收稿日期:2020-09-27 出版日期:2021-10-26
  • 通信作者: 王征, 王国斌

Prevention and treatment of anastomotic leakage after anterior resection for patients with rectal cancer

Xiangnan Yu1, Daan Fu1, Zheng Dai1, Junhua Chen1, Ming Cai1, Peng Zhang1, Kailin Cai1, Kaixiong Tao1, Zheng Wang1, Guobin Wang1,()   

  1. 1. Department of Gastrointestinal Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei 430022, China
  • Received:2020-09-27 Published:2021-10-26
  • Corresponding author: Guobin Wang
  • Supported by:
    Major Project of Scientific and Technological Innovation Program of Hubei Province(2018ACA136)
引用本文:

余向南, 付达安, 戴拯, 张鹏, 尹玉平, 蔡明, 陈俊华, 蔡开琳, 陶凯雄, 王征, 王国斌. 直肠癌前切除术吻合口漏预防及治疗[J/OL]. 中华普外科手术学杂志(电子版), 2021, 15(05): 587-590.

Xiangnan Yu, Daan Fu, Zheng Dai, Junhua Chen, Ming Cai, Peng Zhang, Kailin Cai, Kaixiong Tao, Zheng Wang, Guobin Wang. Prevention and treatment of anastomotic leakage after anterior resection for patients with rectal cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(05): 587-590.

吻合口漏是直肠癌前切除术后常见严重并发症,目前仍然是结直肠癌外科医生所需要面对的最为棘手问题之一。吻合口漏发生将导致患者住院时间延长、围手术期死亡风险增加、原位复发率升高,总体生存期缩短等不良影响,因此对其预防和治疗是直肠癌围手术期重要工作之一。本文旨在对吻合口漏发生的预防及治疗措施进行综述分析。

Anastomotic leakage is a common serious complication after anterior resection of rectal cancer. And it is still one of the most challenging problems to colorectal cancer surgeons. Anastomotic leakage would result in prolonged hospitalization, local recurrence, poor overall survival and even increased perioperative death. Therefore, the prevention and treatment of anastomotic leakage should be the most important perioperative management for patients with rectal cancer. This article aims to summarize and analyze the prevention and treatment measures of anastomotic leakage.

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