BACKGROUND: The purpose of this study is to present the incidence of anastomotic leakage after colon resection and intraperitoneal anastomosis for colorectal cancer. PATIENTS AND METHODS: In the last ten years, 205 patients underwent colonic resection with intraperitoneal anastomosis for colon cancer. The surgical management of colorectal cancer consisted of 66 right hemicolectomies, 3 transverse colectomies, 17 left hemicolectomies, 98 sigmoid colectomies and 21 high anterior resections of the rectum. Diagnosis of leakage was made by clinical features, blood vessel examinations and abdominal CT-scans. RESULTS: Anastomotic leakage occurred in 5 out of 205 patients (2.4%). One of these patients underwent emergency surgery and the other 4 elective surgery; 3 by manual, 2 by mechanical suture. Three patients with anastomotic leakage were reoperated on days 4, 5 and 7, and 2 patients were treated conservatively. Two of the patients (20%) with anastomotic leakage died due to sepsis. CONCLUSIONS: Even though the rate of anastomotic leakage in patients with intraperitoneal anastomosis after colon resection for colorectal cancer is low, it remains a significant complication and a major cause of postoperative morbidity and mortality.
BACKGROUND: The purpose of this study is to present the incidence of anastomotic leakage after colon resection and intraperitoneal anastomosis for colorectal cancer. PATIENTS AND METHODS: In the last ten years, 205 patients underwent colonic resection with intraperitoneal anastomosis for colon cancer. The surgical management of colorectal cancer consisted of 66 right hemicolectomies, 3 transverse colectomies, 17 left hemicolectomies, 98 sigmoid colectomies and 21 high anterior resections of the rectum. Diagnosis of leakage was made by clinical features, blood vessel examinations and abdominal CT-scans. RESULTS:Anastomotic leakage occurred in 5 out of 205 patients (2.4%). One of these patients underwent emergency surgery and the other 4 elective surgery; 3 by manual, 2 by mechanical suture. Three patients with anastomotic leakage were reoperated on days 4, 5 and 7, and 2 patients were treated conservatively. Two of the patients (20%) with anastomotic leakage died due to sepsis. CONCLUSIONS: Even though the rate of anastomotic leakage in patients with intraperitoneal anastomosis after colon resection for colorectal cancer is low, it remains a significant complication and a major cause of postoperative morbidity and mortality.
Authors: D Kanellos; M G Pramateftakis; I Mantzoros; E Zacharakis; D Raptis; K Despoudi; Th Zaraboukas; G Koliakos; H Lazaridis Journal: Tech Coloproctol Date: 2011-10 Impact factor: 3.781
Authors: I Baloyiannis; G Christodoulidis; D Symeonidis; I Hatzinikolaou; M Spyridakis; K Tepetes Journal: Tech Coloproctol Date: 2010-11 Impact factor: 3.781
Authors: G Galanopoulos; M G Pramateftakis; D Raptis; I Mantzoros; D Kanellos; S Angelopoulos; G Koliakos; T Zaraboukas; C Lazaridis Journal: Tech Coloproctol Date: 2011-10 Impact factor: 3.781
Authors: D Raptis; I Mantzoros; M G Pramateftakis; K Despoudi; T Zaraboukas; G Koliakos; I Kanellos; Ch Lazarides Journal: Int J Colorectal Dis Date: 2011-11-09 Impact factor: 2.571