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Influencing factors of anastomotic leak after right hemicolon surgery and progress in diagnosis and treatment strategies / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 544-549, 2021.
Article in Chinese | WPRIM | ID: wpr-942921
ABSTRACT
Anastomotic leak is one of the most severe complications following right hemicolectomy but rarely happens, which should be diagnosed based on clinical manifestations, laboratory and radiographic examinations. Influencing factors of anastomotic leak after right hemicolectomy include bowel preparation, emergency surgery, anastomotic procedure (side-to-side anastomosis vs. end-to-side anastomosis, instrument anastomosis vs. manual technigue and intracorporeal vs. extracorporeal anastomosis), surgical resection range and patient's characteristics. The occurrence of anastomotic leak might be avoided by standardized operations and indocyanine green fluorescence imaging. Active treatment is recommended once anastomotic leak is diagnosed. Most patients can be cured by non-surgical treatments such as adequate drainage and anti-infection therapy. When severe sepsis happens or non-surgical treatment fails, surgical treatment should be carried out in time.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Anastomosis, Surgical / Colectomy / Colon / Anastomotic Leak / Indocyanine Green Type of study: Diagnostic study / Practice guideline Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Anastomosis, Surgical / Colectomy / Colon / Anastomotic Leak / Indocyanine Green Type of study: Diagnostic study / Practice guideline Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2021 Type: Article