engleski

Anastomotic leak in colorectal surgery:comparation between laparoscopic and open surgery ; a single surgeon experience

Anastomotic leakage following colorectal resection and anastomosis has been proposed as an indicator of quality of colorectal surgery.137 patients were entered in our database. 49 laparoscopic, 9 laparoscopic conversion to open surgery, 10 laparoascopically assisted and 69 open surgeries were performed. In 118 pts resection with anastomosis was performed. In 5 pts symptomatic anastomotic leakage was found. All pts with leakage previously underwent low rectal resection. Median time to diagnosis of leakage was 6 days. All cases were surgically treated (1 lap Hartmann and 4 loop ileostomy). Hospital stay for pts with leakage was longer (23-71 days). We have noticed no difference in leakage incidence between lap and open surgery procedures after colorectal resection. The symptomatic leakage we noticed only in low rectal and coloanal anastomosis.

anastomotic leakage ; colorectal surgery

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