The anastomotic failure impact on the surgical treatment results for colorectal cancer (literature review)
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 2
Abstract
The anastomotic failure is one of the most serious complications in abdominal surgery. This complication is the leading cause of death for patients after colorectal cancer surgery. At the same time, decision of the question of suture failure methods prevention of the colorectal anastomosis is an important trend in modern oncocoloproctology. According to some publication, anastomotic failure after colon cancer surgery ranges from 3 — 7 % of cases, rectal cancer — 13 — 18 %, while the rates of postoperative mortality vary within 1 — 27 %. The variation in failure and mortality rates from this complication may be due to a variety of factors, including heterogeneity of the patient groups included in the study, differences in the surgical technique and perioperative patient administration, and various definitions of anastomotic failure. This complication is an independent predictor of increased overall and cancer‑specific survival. The risk of leakage may be due to the functional status of the patient, the nature of the disease, the type of surgical intervention and other factors. Stratification of patients according to risk factors for the development of anastomotic leakage makes it possible to predict the occurrence of this complication and to determine the optimal treatment strategy in each particular case. Early diagnosis of anastomotic leakage is critical for a favorable treatment outcome and a reduction in mortality rates. There are not generally accepted, standardized and effective perioperative risk factors for the development of this complication. The search of the optimal tactics for the diagnosis and treatment of anastomotic failure remains relevant.
Authors and Affiliations
O. P. Kolesnik, I. P. Kolesnyk, V. V. Kechedzhyiev
Keywords
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- EP ID EP609915
- DOI 10.30978/SU2019-2-92
- Views 109
- Downloads 0
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