[1]商敬坤,傅仲学.结直肠癌术后吻合口瘘的预防、诊断及治疗[J].医学信息,2018,31(06):45-47.[doi:10.3969/j.issn.1006-1959.2018.06.015]
　SHANG Jing-kun,FU Zhong-xue.Prevention,Diagnosis and Treatment of Anastomotic Fistula after Colorectal Cancer Surgery[J].Journal of Medical Information,2018,31(06):45-47.[doi:10.3969/j.issn.1006-1959.2018.06.015]
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结直肠癌术后吻合口瘘的预防、诊断及治疗()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年06期
页码:
45-47
栏目:
综述
出版日期:
2018-03-20

文章信息/Info

Title:
Prevention,Diagnosis and Treatment of Anastomotic Fistula after Colorectal Cancer Surgery
文章编号:
1006-1959（2018）06-0045-03
作者:
商敬坤; 傅仲学
重庆医科大学第一附属医院胃肠外科，重庆 400016
Author(s):
SHANG Jing-kun; FU Zhong-xue
Department of Gastrointestinal Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China
关键词:
结直肠肿瘤; 吻合口瘘; 外科手术; 预防性造瘘
Keywords:
Key words：Colorectal neoplasms; Anastomotic fistula; Surgery; Prophylactic fistula
分类号:
R735.3
DOI:
10.3969/j.issn.1006-1959.2018.06.015
文献标志码:
A
摘要:
结直肠癌是消化道常见的恶性肿瘤，其发病率和死亡率逐年升高，手术治疗是最有效的治疗方法，而吻合口瘘依然是结直肠癌患者术后最严重、最常见的并发症，尤其在结肠和直肠间的吻合。本文通过对近期国内外相关研究进行总结，以期望降低吻合口的发生率及死亡率。
Abstract:
Abstract：Colorectal cancer is a common malignant tumor of the digestive tract.Its morbidity and mortality are increasing year by year. Surgical treatment is the most effective treatment,and anastomotic fistula is still the most serious and common complication in patients with colorectal cancer.Especially in the anastomosis between colon and rectum.This paper summarizes the recent researches at home and abroad in order to reduce the incidence and mortality of anastomotic stoma.

参考文献/References:

[1]M Arnold,MS Sierra,M Laversanne,et al.Global patterns and trends in colorectal cancer incidence and mortality[J].Gut,2017,66(4):683-691. [2]陈万青,张思维,郑荣寿,等.中国2009年恶性肿瘤发病和死亡分析[J].中国肿瘤,2013,22(01):2-12. [3]S Wang,J Liu,S Wang,et al.Adverse effects of anastomotic leakage on local recurrence and survival after curative anterior resection for rectal cancer:a systematic review and meta-analysis[J].World J Surg,2016,41(1):277-284. [4]Nygren J,Thacker J,Carli F,et al.Guidelines for perioperative care in elective rectal pelvic surgery:enhanced recovery after surgery(ERAS○R)society recommendations[J].World J Surg,2013,37(2):285-305. [5]Qu H,Y Liu,DS Bi.Clinical risk factors for anastomotic leakage after laparoscopic anterior resection for rectal cancer:a systematic review and meta-analysis[J].Surg Endosc,2015,29(12):3608-3617. [6]Z Wu,RC van,CL Sparreboom,et al.Is the intraoperative air leak test effective in the prevention of colorectal anastomotic leakage A systematic review and meta-analysis[J].Int J Colorectal Dis,2016,31(8):1409-1417. [7]HS Snijders,CB van,MW Wouters,et al.An increasing use of defunctioning stomas after low anterior resection for rectal cancer.Is this the way to go[J].Eur J Surg Oncol,2013,39(7):715-720. [8]Z Wu,GS Boersema,LF Kroese,et al.Reducing colorectal anastomotic leakage with tissue adhesive in experimental inflammatory bowel disease[J].Inflamm Bowel Dis,2015,21(5):1038-1046. [9]Marres CCM,van de Ven AWH,Leijssen LGJ,et al.Colorectal anastomotic leak:delay in reintervention after false-negative computed tomography scan is a reason for concern[J].Tech Coloproctol,2017,21(9):709-714. [10]IA Bilgin,E Hatipoglu,A Aghayeva,et al.Predicting value of serum procalcitonin,C-reactive protein,drain fluid culture,drain fluid interleukin-6,and tumor necrosis factor-alpha levels in anastomotic leakage after rectal resection[J].Surgical Infections,2017,18(3):350-356. [11]DM Den,MJ Witvliet,K Kortram,et al.The DULK(Dutch leakage)and modified DULK score compared:actively seek the leak[J].Colorectal Dis,2013,15(9):e528-e533. [12]徐园,邵钦树,陶厚权,等.直肠癌前切除术后吻合口瘘24例临床分析[J].肿瘤学杂志,2014,20(01):55-58. [13]辛贺,李国栋,王乐乐,等.老年性直肠癌术后吻合口瘘的诊治体会[J].中国老年学杂志,2012,32(07):1512-1513. [14]CD Klink,K Lioupis,M Binnebosel,et al.Diversion stoma after colorectal surgery:loop colostomy or ileostomy[J].Int J Colorectal Dis,2011,26(4):431-436. [15]J Chen,Y Zhang,C Jiang,et al.Temporary ileostomy versus colostomy for colorectal anastomosis:evidence from 12 studies[J].Scand J Gastroenterol,2013,48(5):556-562. [16]A Doeksen,PJ Tanis,BC Vrouenraets,et al.Factors determining delay in relaparotomy for anastomotic leakage after colorectal resection[J].World J Gastroenterol,2007,13(27):3721-3725. [17]S Vennix,R Abegg,OJ Bakker,et al.Surgical re-interventions following colorectal surgery:open versus laparoscopic management of anastomotic leakage[J].Journal of Laparoendoscopic& Advanced Surgical Techniques Part A,2013,23(9):739-744.

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更新日期/Last Update: 2018-03-15