Intraoperative verification of colorectal anastomotic integrity
Authors:
L. Martínek 1
; R. Bergamaschi 2; J. Hoch 1
Authors place of work:
Chirurgická klinika 2. LF UK v Praze a Fakultní nemocnice Motol, přednosta: prof. MUDr. J. Hoch, CSc.
1; Division of Colon and Rectal Surgery, University of New York, Stony Brook, chief of division: prof. MD R. Bergamaschi, PhD.
2
Published in the journal:
Rozhl. Chir., 2015, roč. 94, č. 5, s. 185-188.
Category:
Review
Summary
Early postoperative anastomotic complications have serious clinical implications for the patient’s morbidity, mortality as well as long-term results. A number of measures can be undertaken to reduce the risk of anastomotic complications, including intraoperative colorectal anastomotic integrity assessment. Methods used to assess anastomotic reliability have gradually developed from basic mechanical techniques, direct visual endoluminal inspection, to microperfusion assessment of perianastomotic tissue. Moderate benefit in terms of reduced postoperative anastomotic complications has been shown with mechanical patency testing and partly with intraoperative endoscopic visualization of colorectal anastomoses. More recently, indocyanine green (ICG) fluorescence imaging methods have emerged as major contributions to anastomotic patency assessment and intraoperative decision making during surgical colorectal procedures including decreased numbers of ileostomies.
Key words:
colorectal surgery – complications – near infrared fluoroscopy (NIR) – indocyanine green (ICG)
Zdroje
1. Den Dulk M, Marijnen CAM, Collette L, et al. Multicentre analysis of oncological and survival outcomes following anastomotic leakage after rectal cancer surgery. Br J Surg 2009;96:1066–75.
2. 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. Ann Surg 2011;253:890–9.
3. Liška V, Třeška V, Holubec L, et al. Prognostic factors of early recurrence of colorectal liver metastases and their usage in clinical praxis. Rozhl Chir. 2006;85:86−9.
4. Espín E, Ciga MA, Pera M, et al. The Spanish Rectal Cancer Project. Oncological outcome following anastomotic leak in rectal surgery. Br J Surg. 2015;102:416−22.
5. Martínek L, Zonča P, Ihnát P. Overall survival: is it an objective endpoint for assessing the quality of surgical treatment for colorectal cancer? Rozhl Chir 2013;92:690−3.
6. Park JS, Choi GS, Kim SH, et al. Multicenter analysis of risk factors for anastomotic leak-age after laparoscopic rectal cancer excision: the Korean laparoscopic colorectal surgery study group. Ann Surg 2013;257:665–71.
7. Kang CY, Halabi WJ, Chaudhry OO, et al. Risk factors for anastomotic leakage after anterior resection for rectal cancer. JAMA Surg 2013;148:65–71.
8. Kocián P, Neumann J, Majtan P, et al. Fluid therapy and surgical outcomes after low anterior resection. Rozhl Chir 2014;93:463−7.
9. Karliczek A, Harlaar NJ, Zeebregts CJ, et al. Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. Int J Colorectal Dis 2009;4:569–76.
10. Kudszus S, Roesel C, Schachtrupp A, et la. Intraoperative laser fluorescence angiography in colorectal surgery: a noninvasive analysis to reduce the rate of anastomotic leakage. Langenbeck’s Arch Surg 2010;395:1025−30.
11. Jafari MD, Lee KH, Halabi WJ, et al. The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surgical Endosc 2013;27:3003–8.
12. Nachiappan S, Askari A, Currie A, et al. Intraoperative assessment of colorectal anastomotic integrity: a systematic review. Surg Endosc 2014;28:2513–30.
13. Beard JD, Nicholson ML, Sayers RD, et al. Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial. Br J Surg 1990;77:1095–107.
14. Ivanov D, Cvijanovic R, Gvozdenovic L. Intraoperative air testing of colorectal anastomoses. Srp Arh Celok Lek 2011;139:333–8.
15. Cahill RA, Ris F, Mortensen NJ. Near-infrared laparoscopy for real-time intra-operative arterial and lymphatic perfusion imaging. Colorectal Dis. 2011;13 Suppl 7:12−7.
16. Jafari MD, Wexner SD, Martz JE, et al. Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg 2015;220:82−92.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2015 Číslo 5
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Pancreatic metastases − diagnosis, radical surgery, complications and survival
- Endometriosis of the appendix presenting like acute appendicitis – a case report
- Intestinal volvulus caused by the ingestion of magnet balls: unexpected risk in children
- Femoropopliteal deep vein thrombosis and popliteal artery pseudoaneurysm as a complication of multiple hereditary osteochondromatosis