Le pressioni endoluminali: un fattore di rischio delle deiscenze anastomotiche nel carcinoma rettale. Risultati preliminari.

Translated title of the contribution: Endoluminal pressure: risk factor for anastomotic dehiscence in rectal carcinoma. Preliminary results

S. Montemurro, C. Caliandro, E. Ruggeri, A. Rucci, V. Sciscio

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this work was to evaluate the risk factors for anastomotic leakage with particular reference to endoluminal pressures in patients undergoing surgery for colorectal cancer between february 1998 and september 2000. In this preliminary report a total of 120 patients were identified; 96 patients were treated with a total mesorectal excision (with anastomosis less than 10 cm from the anal margin) for rectal cancer and 33 with a partial mesorectal excision (with anastomosis of the superior rectum) for rectosigmoid carcinoma. The leakages were observed in 10.4% of patients and the incidence of this complication was 15.6% in patients with rectal cancer. Using a transanal tube (7 x 2 cm) which reduces endoluminal pressure close to the anastomosis, a significant reduction in the number of leakages was observed. The authors suggest that the transanal tube represents a useful aid in resolving the problem of anastomotic leakage in rectal cancer and stress the importance of this simple, cheap surgical technique.

Translated title of the contributionEndoluminal pressure: risk factor for anastomotic dehiscence in rectal carcinoma. Preliminary results
Original languageItalian
Pages (from-to)529-536
Number of pages8
JournalChirurgia Italiana
Volume53
Issue number4
Publication statusPublished - Jul 2001

ASJC Scopus subject areas

  • Surgery

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