Anastomotic leakage following rectal cancer surgery: risk factors and prevention strategies

doi:10.16139/j.1007-9610.2021.04.003

Abstract

CLC Number:

R735.37

WEN Xiaofeng, WU Xianrui, LAN Ping. Anastomotic leakage following rectal cancer surgery: risk factors and prevention strategies[J]. Journal of Surgery Concepts & Practice, 2021, 26(04): 285-289.

References 35

[1]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J, 2021, 71(3):209-249. doi: 10.3322/caac.21660 URL
[2]	Kirchhoff P, Clavien PA, Hahnloser D. Complications in colorectal surgery: risk factors and preventive strategies[J]. Patient Saf Surg, 2010, 4(1):5. doi: 10.1186/1754-9493-4-5 pmid: 20338045
[3]	Rahbari NN, Weitz J, Hohenberger W, et al. Definition and grading of anastomotic leakage following anterior resection of the rectum: a proposal by the International Study Group of Rectal Cancer[J]. Surgery, 2010, 147(3):339-351. doi: 10.1016/j.surg.2009.10.012 URL
[4]	Mirnezami A, Mirnezami R, Chandrakumaran K, et al. Increased local recurrence and reduced survival from colorectal cancer following anastomotic leak: systematic review and meta-analysis[J]. Ann Surg, 2011, 253(5):890-899. doi: 10.1097/SLA.0b013e3182128929 URL
[5]	van Helsdingen CP, Jongen AC, de Jonge WJ, et al. Consensus on the definition of colorectal anastomotic lea-kage: a modified Delphi study[J]. World J Gastroenterol, 2020, 26(23):3293-3303. doi: 10.3748/wjg.v26.i23.3293 URL
[6]	Sparreboom CL, van Groningen JT, Lingsma HF, et al. Different risk factors for early and late colorectal anastomotic leakage in a nationwide audit[J]. Dis Colon Rectum, 2018, 61(11):1258-1266. doi: 10.1097/DCR.0000000000001202 pmid: 30239395
[7]	McDermott FD, Heeney A, Kelly ME, et al. Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks[J]. Br J Surg, 2015, 102(5):462-479. doi: 10.1002/bjs.9697 pmid: 25703524
[8]	Rullier E, Laurent C, Garrelon JL, et al. Risk factors for anastomotic leakage after resection of rectal cancer[J]. Br J Surg, 1998, 85(3):355-358. doi: 10.1046/j.1365-2168.1998.00615.x URL
[9]	Law WI, Chu KW, Ho JW, et al. Risk factors for anastomotic leakage after low anterior resection with total mesorectal excision[J]. Am J Surg, 2000, 179(2):92-96. pmid: 10773140
[10]	Peeters KC, Tollenaar RA, Marijnen CA, et al. Risk factors for anastomotic failure after total mesorectal excision of rectal cancer[J]. Br J Surg, 2005, 92(2):211-216. doi: 10.1002/bjs.4806 URL
[11]	Zhou C, Wu XR, Liu XH, et al. Male gender is associa-ted with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision[J]. Gastroen-terol Report, 2018, 6(2):137-143.
[12]	Liu XH, Wu XR, Zhou C, et al. Conversion is a risk factor for postoperative anastomotic leak in rectal cancer patients - a retrospective cohort study[J]. Int J Surgery, 2018, 53:298-303. doi: 10.1016/j.ijsu.2018.01.024 URL
[13]	Marusch F, Gastinger I, Schneider C, et al. Importance of conversion for results obtained with laparoscopic colorectal surgery[J]. Dis Colon Rectum, 2001, 44(2):207-214. pmid: 11227937
[14]	Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer[J]. N Engl J Med, 2015, 372(14):1324-1332. doi: 10.1056/NEJMoa1414882 URL
[15]	Escal L, Nougaret S, Guiu B, et al. MRI‐based score to predict surgical difficulty in patients with rectal cancer[J]. Br J Surg, 2018, 105(1):140-146. doi: 10.1002/bjs.10642 pmid: 29088504
[16]	Shimada T, Tsuruta M, Hasegawa H, et al. Pelvic inlet shape measured by three-dimensional pelvimetry is a predictor of the operative time in the anterior resection of rectal cancer[J]. Surg Today, 2018, 48(1):51-57. doi: 10.1007/s00595-017-1547-1 URL
[17]	Zur Hausen G, Gröne J, Kaufmann D, et al. Influence of pelvic volume on surgical outcome after low anterior resection for rectal cancer[J]. Int J Colorectal Dis, 2017, 32(8):1125-1135. doi: 10.1007/s00384-017-2793-9 pmid: 28315018
[18]	Ogiso S, Yamaguchi T, Hata H, et al. Evaluation of factors affecting the difficulty of laparoscopic anterior resection for rectal cancer: "narrow pelvis" is not a contraindication[J]. Surg Endosc, 2011, 25(6):1907-1912. doi: 10.1007/s00464-010-1485-0 URL
[19]	Yu ZL, Liu XH, Liu HS, et al. Impact of pelvic dimensions on anastomotic leak after anterior resection for patients with rectal cancer[J]. Surg Endosc, 2020, 35(5):2134-2143. doi: 10.1007/s00464-020-07617-1 URL
[20]	Qin Q, Ma T, Deng Y, et al. Impact of preoperative radiotherapy on anastomotic leakage and stenosis after rectal cancer resection: post hoc analysis of a randomized controlled trial[J]. Dis Colon Rectum, 2016, 59(10):934-942. doi: 10.1097/DCR.0000000000000665 URL
[21]	Park JS, Choi GS, Kim SH, et al. Multicenter analysis of risk factors for anastomotic leakage after laparoscopic rectal cancer excision: the Korean laparoscopic colorectal surgery study group[J]. Ann Surg, 2013, 257(4):665-671. doi: 10.1097/SLA.0b013e31827b8ed9 URL
[22]	Qin C, Ren X, Xu K, et al. Does preoperative radio(chemo)therapy increase anastomotic leakage in rectal cancer surgery? a meta-analysis of randomized controlled trials[J]. Gastroenterol Res Pract, 2014, 2014:910956.
[23]	Frouws MA, Snijders HS, Malm SH, et al. Clinical relevance of a grading system for anastomotic leakage after low anterior resection: analysis from a national cohort database[J]. Dis Colon Rectum, 2017, 60(7):706-713. doi: 10.1097/DCR.0000000000000800 URL
[24]	钟清华, 吴培煌, 秦启元, 等. 直肠癌术前放疗造成手术切缘放射性损伤的病理学研究[J]. 中华外科杂志, 2017, 55(7):507-514.
[25]	Onodera H, Nagayama S, Mori A, et al. Reappraisal of surgical treatment for radiation enteritis[J]. World J Surg, 2005, 29(4):459-463. doi: 10.1007/s00268-004-7699-3 URL
[26]	Myerson RJ, Garofalo MC, El Naga I, et al. Elective cli-nical target volumes for conformal therapy in anorectal cancer: a radiation therapy oncology group consensus panel contouring atlas[J]. Int J Radiat Oncol Biol Phys, 2009, 74(3):824-830. doi: 10.1016/j.ijrobp.2008.08.070 URL
[27]	秦启元, 邝颖仪, 马腾辉, 等. 近侧扩大切除手术治疗新辅助放化疗后局部进展期直肠癌疗效分析[J]. 中华胃肠外科杂志, 2017, 20(11):1256-1262.
[28]	Corder AP, Karanjia ND, Williams JD, et al. Flush aortic tie versus selective preservation of the ascending left co-lic artery in low anterior resection for rectal carcinoma[J]. Br J Surg, 1992, 79(7):680-682. doi: 10.1002/bjs.1800790730 URL
[29]	Bonnet S, Berger A, Hentati N, et al. High tie versus low tie vascular ligation of the inferior mesenteric artery in colorectal cancer surgery: impact on the gain in colon length and implications on the feasibility of anastomoses[J]. Dis Colon Rectum, 2012, 55(5):515-521. doi: 10.1097/DCR.0b013e318246f1a2 pmid: 22513429
[30]	Tsujinaka S, Kawamura YJ, Tan KY, et al. Proximal bowel necrosis after high ligation of the inferior mesenteric artery in colorectal surgery[J]. Scand J Surg, 2012, 101(1):21-25. pmid: 22414464
[31]	滕文浩, 魏丞, 刘文居, 等. 保留左结肠动脉对接受新辅助治疗的直肠癌病人术后吻合口漏的影响[J]. 中华胃肠外科杂志, 2019, 22(6):566-572.
[32]	Yang X, Ma P, Zhang X, et al. Preservation versus non-preservation of left colic artery in colorectal cancer surgery: an updated systematic review and meta-analysis[J]. Medicine (Baltimore), 2019, 98(5):e13720. doi: 10.1097/MD.0000000000013720 URL
[33]	Karliczek A, Harlaar NJ, Zeebregts CJ, et al. Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery[J]. Int J Colorectal Dis, 2009, 24(5):569-576. doi: 10.1007/s00384-009-0658-6 pmid: 19221768
[34]	Blanco-Colino R, Espin-Basany E. Intraoperative use of ICG fluorescence imaging to reduce the risk of anastomotic leakage in colorectal surgery: a systematic review and meta-analysis[J]. Tech Coloproctol, 2018, 22(1):15-23. doi: 10.1007/s10151-017-1731-8 pmid: 29230591
[35]	Watanabe J, Ishibe A, Suwa Y, et al. Indocyanine green fluorescence imaging to reduce the risk of anastomotic leakage in laparoscopic low anterior resection for rectal cancer: a propensity score-matched cohort study[J]. Surg Endosc, 2020, 34(1):202-208. doi: 10.1007/s00464-019-06751-9 pmid: 30877565

Anastomotic leakage following rectal cancer surgery: risk factors and prevention strategies

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