Risk stratification of anastomotic leakages after colonic resection and reconstructive procedures

Le résumé fourni par la source

The OBJECTIVE to analyze the available researches over the past 5 years and systematized the main groups of factors , which leading to the leakages of colonic anastomoses after resection and reconstructive procedures . Literature analysis was carried in the medical databases PubMed , Medline , Cochrane Library, Web of Science. 22 randomized trials and meta-analyses were included in the literature review . All researches investigated large sample of patients presented and the number of factors evaluated with statistically significant reliability . We analyzed and presented the controlled and uncontrolled factors , which were leading to leakages of colonic anastomoses after reconstructive and resection procedures at different stages of treatment of this category of patients . The frequency of the development of the leakages of interstitial anastomoses according to the studied literature is high . Evaluation of proven factors in the preoperative period will in most cases reduce the risks and , as a consequence , the frequency of leakages of colonic anastomoses . This will be significantly improved to the results of treatment of coloproctological patients .

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.