Reoperation for anastomotic failure.
Reoperation for anastomotic failure.
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DOI：
10.1055/s-2006-956442
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发表时间：
2006-11-01
影响因子：
1.4
通讯作者：
Stamos, Michael J
中科院分区：
文献类型：
--
作者：
Murrell, Zuri A;Stamos, Michael J
吻合口漏是结直肠手术的一种可怕的并发症，有许多潜在的原因。据报道，这种并发症的死亡率为6%至39%。早期诊断是预防死亡的关键。在这里，我们讨论吻合口漏的原因及其体征和症状。此外，我们还探讨了各种诊断和治疗方法。最重要的是，我们讨论了患者何时需要被带到手术室，以及在各种术中发现的情况下应该进行何种手术。
Anastomotic leak is a dreaded complication of colorectal surgery, with many potential causes. This complication carries with it a reported mortality ranging from 6 to 39%. Early diagnosis is key for the prevention of mortality. Here, we discuss the causes of an anastomotic leak and its signs and symptoms. Moreover, we explore the various modalities of diagnosis and treatment options. Most important, we discuss when a patient needs to be taken to the operating room and what procedure should be performed given various intraoperative findings.