RESUMO
With the continuous improvement of techniques,mini-invasive surgeries have reached a new peak. There is another great revolution about surgery for colorectal cancer from open surgery to laparoscopic surgery and single-incision laparoscopic surgery (SILS) and natural orifice specimen extraction surgery (NOSES) and robot-assisted laparoscopic surgery. NOSES for colorectal cancer has the advantages of mild pain, quick recovery and small surgical scar, however, it is still in infancy. There is no unified standard in terms of naming,indications and contraindications,aseptic principle and no-tumor principle,and technology platform, and thus further clinical data support is needed.
RESUMO
Objective To investigate the cause of postoperative colorectal cancer anastomotic fistula,the treatment and prevention measures.Methods 2007 -2014,The department of General surgery in Qingdao Municipal hospitals for abdominal colorectal cancer resection(Dixon surgery)were 208 cases,including 13 cases of anastomotic leakage occurred.Retrospective summarized the cause,treatment and preventive measures of abdominal colorectal cancer anastomotic fistula.Results All of 13 patients were discharged,and had no adhesions obstruction,anastomotic stricture,pelvic abscess and other symptoms following -up 6 months after discharge.Conclusion Grasping preopera-tive risk factors of abdominal colorectal cancer for anastomotic fistula,actively preoperative preparation,and master of fine anatomical and surgical point are the main points of the prevention of anastomotic leakage.