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Anastomotic leak colon

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https://www.readbyqxmd.com/read/29786579/operative-treatment-of-corrosive-esophageal-strictures
#1
Volodymyr O Shaprynskyi, Yevhen V Shaprynskyi, Yaroslav V Karyi, Serhii A Lysenko, Oleg O Vorovskyi, Andrii I Semenenko
OBJECTIVE: Introduction: Nowadays operative treatment of corrosive esophageal strictures remains one of the difficult and unsolved problems in surgery. The level of postoperative complications such as anastomotic leak (develops in 7-30% of cases), infections, pneumonia, pleural empyema, mediastinitis, peritonitis, postoperative corrosive strictures is still rather high. The aim of our work was to improve the results of surgical treatment of patients with corrosive esophageal strictures by analyzing and refining on conservative therapy options as well as differentiated approach to each operative treatment method...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29726262/-intra-operative-fluorescence-angiography-of-colorectal-anastomotic-perfusion-a-technical-aspects
#2
L Martínek, F Pazdírek, J Hoch, P Kocián
INTRODUCTION: Anastomotic leak after colorectal surgery is a serious complication. Tissue perfusion plays a key role for anastomotic healing. Fluorescence angiography with indocyanine green under near-infrared excitation allows a real-time perfusion assessment. The aim of this study was to evaluate the feasibility and the potential benefit of intraoperative assessment of anastomotic perfusion in colorectal surgery using indocyanine green-enhanced fluorescence in near-infrared light. METHODS: 53 patients with primary anastomosis after elective colon or rectum resection were enrolled between 1 January 2016 and 31 January 2017...
2018: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/29707499/cervical-exenteration
#3
REVIEW
Uma M Sachdeva, Michael Lanuti
Cervical exenteration is a radical procedure for the treatment of locally invasive cancers of the trachea, esophagus, or thyroid, as well as recurrent tumors at the site of a tracheal stoma, and occasionally for benign disease. Exenteration involves removal of the larynx, pharynx, esophagus, and trachea, as well as associated lymphatic tissue. The tracheal stump is brought up as a cervical or mediastinal tracheostomy, depending on the length and the location of the distal resection site. The alimentary tract can be reconstructed with several types of conduits, but most commonly the stomach or left colon are used...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29705346/pancreatoduodenectomy-with-colon-resection-for-pancreatic-cancer-a-systematic-review
#4
REVIEW
Leonardo Solaini, Thijs de Rooij, E Madelief Marsman, Wouter W Te Riele, Pieter J Tanis, Thomas M van Gulik, Dirk J Gouma, Neal H Bhayani, Thilo Hackert, Olivier R Busch, Marc G Besselink
BACKGROUND: Radical resection of advanced pancreatic cancer may occasionally require a simultaneous colon resection. The risks and benefits of this combined procedure are largely unknown. This systematic review aimed to assess short and long term outcome after pancreatoduodenectomy with colon resection (PD-colon) for pancreatic ductal adenocarcinoma (PDAC). METHODS: A systematic literature search was performed in PubMed, Embase, and the Cochrane Library for studies published between 1994 and 2017 concerning PD-colon for PDAC...
April 25, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29701133/a-new-perspective-on-vacuum-assisted-closure-for-the-treatment-of-anastomotic-leak-following-low-anterior-resection-for-rectal-cancer-is-it-worthy
#5
Rosa Maria Jimenez-Rodriguez, Angela Araujo-Miguez, Salvador Sobrino-Rodriguez, Frederick Heller, Jose M Díaz-Pavon, Juan M Bozada Garcia, Fernando De la Portilla
BACKGROUND: Anastomotic dehiscence is a common complication of anterior resection. In this work, we evaluate the management of the pelvic cavity after low rectal resection using vacuum closure (VAC) with a gastroscope, and we establish factors that determine the success of closure and analyzed the rate of ileostomy closure after leakage was resolved. PATIENTS AND METHODS: This is a descriptive case series analysis conducted at a tertiary hospital. Twenty-two patients with low colorectal anastomosis leakage or opening of the rectal stump after anterior resection for rectal cancer were included...
April 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29661283/2-octylcyanoacrylate-for-the-prevention-of-anastomotic-leak
#6
Anthony B Costales, Deepa Patil, Anny Mulya, John P Kirwan, Chad M Michener
BACKGROUND: Anastomotic leak after colorectal surgery is a significant cause of morbidity and mortality. The aim of this study was to evaluate the impact of a reinforced colo-colonic anastomosis with tissue adhesive, 2-octylcyanoacrylate (2-OCA), on the integrity of anastomotic healing as measured by anastomotic bursting pressure. METHODS: Sixty-eight female Sprague-Dawley rats underwent a rectosigmoid colon transection and a sutured end-to-end anastomosis followed by randomization to receive no further intervention or reinforcement with the tissue adhesive, 2-OCA...
June 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29658991/novel-de-novo-synthesized-phosphate-carrier-compound-aba-peg20k-pi20-suppresses-collagenase-production-in-enterococcus-faecalis-and-prevents-colonic-anastomotic-leak-in-an-experimental-model
#7
M Wiegerinck, S K Hyoju, J Mao, A Zaborin, C Adriaansens, E Salzman, N H Hyman, O Zaborina, H van Goor, J C Alverdy
BACKGROUND: Previous work has demonstrated that anastomotic leak can be caused by collagenolytic bacteria such as Enterococcus faecalis via an effect on wound collagen. In humans, E. faecalis is the organism cultured most commonly from a leaking anastomosis, and is not routinely eliminated by standard oral or intravenous antibiotics. Novel strategies are needed to contain the virulence of this pathogen when present on anastomotic tissues. METHODS: Polyphosphorylated polymer ABA-PEG20k-Pi20 was tested in mice for its ability to prevent anastomotic leak caused by collagenolytic E...
April 16, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29623587/postoperative-intra-abdominal-infection-is-an-independent-prognostic-factor-of-disease-free-survival-and-disease-specific-survival-in-patients-with-stage-ii-colon-cancer
#8
P Sánchez-Velázquez, M Pera, M Jiménez-Toscano, X Mayol, X Rogés, L Lorente, M Iglesias, M Gallén
BACKGROUND: Recurrence occurs in up to 20% of patients with stage II colon cancer operated on for cure. Although postoperative intra-abdominal infection has been linked with an increased risk of recurrence, the association is controversial. The aim was to investigate the impact of postoperative intra-abdominal infection on disease-free survival and disease-specific survival in patients with stage II colon cancer. METHODS: Patients undergoing elective surgery for colon cancer stage II, between 2003 and 2014, were included...
April 5, 2018: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/29606350/analysis-of-quality-indicators-for-colorectal-cancer-surgery-in-units-accredited-by-the-spanish-association-of-coloproctology
#9
Fernando de la Portilla, Sergio Builes, Alejandra García-Novoa, Eloy Espín, Esther Kreisler, José María Enríquez-Navascues, Sebastiano Biondo, Antonio Codina
INTRODUCTION: Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic standards. The aim of this article is to evaluate and analyze the specific quality indicators for the surgical treatment of colorectal cancer, established by the program...
March 29, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29484943/hartmann-s-procedure-reversal-and-rate-of-stoma-free-survival
#10
S Hallam, B S Mothe, Rmr Tirumulaju
Background Hartmann's procedure is a commonly performed operation for complicated left colon diverticulitis or malignancy. The timing for reversal of Hartmann's is not well defined as it is technically challenging and carries a high complication rate. Methods This study is a retrospective audit of all patients who underwent Hartmann's procedure between 2008 and 2014. Reversal of Hartmann's rate, timing, American Society of Anesthesiologists grade, length of stay and complications (Clavien-Dindo) including 30-day mortality were recorded...
April 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29436979/thoracoscopic-total-esophagogastrectomy-with-supercharged-colon-interposition-for-the-treatment-of-esophageal-adenocarcinoma-in-situs-inversus
#11
Alexandros Charalabopoulos, Ali Kordzadeh, Elias Sdralis, Bruno Lorenzi, Fateh Ahmad
BACKGROUND: Esophagectomy in situs inversus is challenging. With long-segment supercharged reconstruction, it becomes more perplexing and multidisciplinary surgical skills are needed. Challenges met and the surgical technique used is presented in this case report. METHODS: The case of a 49-year old patient with situs inversus abdominus and a locally advanced distal esophageal adenocarcinoma extending to the stomach is presented. RESULTS: Following neoadjuvant chemotherapy and due to inability to use the stomach as a conduit, a thoracoscopic total esophagogastrectomy with long-segment reconstruction was performed...
February 13, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29394558/-hepatic-lateral-segmentectomy-for-management-of-liver-and-adrenal-abscess-following-a-laparoscopy-assisted-left-hemicolectomy-a-case-report
#12
Makoto Aoki, Hiroyuki Fukunari, Yosuke Kawai, Akemi Watanabe, Yuya Umebayashi, Toshifumi Saito, Kenji Shitara, Tetsuji Hayashi
A 67-year-old woman underwent laparoscopy-assisted left hemicolectomy for early descending colon cancer(pTis, pN0, cH0, cM0, Stage 0).Her postoperative course was uneventful, without fever and/or tenderness at the anastomotic site.A month following discharge from the hospital, enhanced computed tomography revealed a liver abscess measuring 80mm in diameter at the lateral segment and a left adrenal abscess measuring 30mm in diameter.Although some free air and fluid collection was noted near the anastomotic site, there was no tenderness, and a gastrografin enema did not reveal leakage and/or pooling of the contrast agent near the anastomotic site...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29374306/intraoperative-colonic-pulse-oximetry-in-left-sided-colorectal-surgery-can-it-predict-anastomotic-leak
#13
Johannes M Salusjärvi, Monika A Carpelan-Holmström, Johanna M Louhimo, Olli Kruuna, Tom M Scheinin
BACKGROUND: An anastomotic leak is a fairly common and a potentially lethal complication in colorectal surgery. Objective methods to assess the viability and blood circulation of the anastomosis could help in preventing leaks. Intraoperative pulse oximetry is a cheap, easy to use, fast, and readily available method to assess tissue viability. Our aim was to study whether intraoperative pulse oximetry can predict the development of an anastomotic leak. METHODS: The study was a prospective single-arm study conducted between the years 2005 and 2011 in Helsinki University Hospital...
March 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29364021/a-tale-of-three-stents-aortic-stenting-prior-to-oesophagectomy-after-oesophageal-stents
#14
C E Munro, Gfw Stamp, A W Phillips, S M Griffin
The use of endoluminal stents to treat anastomotic leaks post oesophagogastric resection remains controversial. While some advocate stents to expedite recovery, others advise caution due to the risk of major morbidity and mortality. We describe a case of anastomotic leak following total gastrectomy for adenocarcinoma treated with a self-expanding metallic stent. Complications with the initial stent were treated with a further stent, which compromised the function of the oesophagus and eroded into the aorta, necessitating a colonic reconstruction and endovascular aortic stenting...
April 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29364015/comparison-of-defecatory-function-after-laparoscopic-total-colectomy-and-ileorectal-anastomosis-versus-a-traditional-open-approach
#15
COMPARATIVE STUDY
Mas Khan, D Jayne, R Saunders
Introduction Total colectomy and ileorectal anastomosis can result in significant defecatory frequency and poor bowel function. The aim of this study was to assess whether a laparoscopic approach is associated with any improvement in this regard. Methods A single institution retrospective review was undertaken of patients undergoing elective total colectomy and ileorectal anastomosis between 2000 and 2011. Those undergoing emergency surgery and paediatric surgery were excluded. The primary outcome measure was satisfactory defecatory function after surgery...
March 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29354899/-accurate-low-ligation-of-inferior-mesenteric-artery-and-root-lymph-node-dissection-according-to-different-vascular-typing-in-laparoscopic-radical-resection-of-rectal-cancer
#16
Jiaming Zhou, Shuyun Zhang, Jun Huang, Pinzhu Huang, Shaoyong Peng, Jinxin Lin, Tuoyang Li, Jianping Wang, Meijin Huang
OBJECTIVE: To explore the feasibility and clinical significance of precision low inferior mesenteric artery (IMA) ligation with the left colonic artery (LCA) preservation and root lymph node dissection in laparoscopic radical resection for rectal cancer, according to the inferior mesenteric artery (IMA) types. METHODS: One Hundred and fore cases of rectal cancer patients who underwent laparoscopic resection in The Sixth Affiliated Hospital of Sun Yat-sen University from October 2015 to June 2016 were selected and divided into study group and control group according to different surgical methods...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29341151/gut-microbiome-influences-on-anastomotic-leak-and-recurrence-rates-following-colorectal-cancer-surgery
#17
REVIEW
S Gaines, C Shao, N Hyman, J C Alverdy
BACKGROUND: The pathogenesis of colorectal cancer recurrence after a curative resection remains poorly understood. A yet-to-be accounted for variable is the composition and function of the microbiome adjacent to the tumour and its influence on the margins of resection following surgery. METHODS: PubMed was searched for historical as well as current manuscripts dated between 1970 and 2017 using the following keywords: 'colorectal cancer recurrence', 'microbiome', 'anastomotic leak', 'anastomotic failure' and 'mechanical bowel preparation'...
January 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29327167/does-laparoscopic-intracorporeal-ileocolic-anastomosis-decreases-surgical-site-infection-rate-a-propensity-score-matched-cohort-study
#18
L Martinek, K You, S Giuratrabocchetta, M Gachabayov, K Lee, R Bergamaschi
AIM: Foreshortened mesentery or thick abdominal wall constitutes a rationale for laparoscopic intracorporeal ileocolic anastomoses (ICA). The aim of this study was to compare intracorporeal to extracorporeal ICA in terms of surgical site infections in patients with Crohn's ileitis and overweight patients with right colon tumors. METHOD: This was a prospective propensity score-matched cohort study enrolling consecutive patients with Crohn's terminal ileitis and overweight patients with right colon tumors undergoing elective laparoscopic right colon resection with intracorporeal or extracorporeal ICA...
March 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29321843/esophagocoloplasty-fistula-successfully-treated-with-vacuum-assisted-closure
#19
Santiago A Endara, Fernando J Terán, Armando J Serrano, Manuela J Castillo, Gabriel A Molina
Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice...
January 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29280120/-clinical-application-of-compound-anastomotic-device-in-protective-terminal-ileostomy-during-rectal-cancer-operation
#20
Qi Huang, Feng Cao, Jinzhe Zhou, Liming Liu, Bujun Ge
OBJECTIVE: To investigate the clinical effect of the application of "compound anastomotic device" on the high-risk colorectal anastomosis in rectal cancer patients undergoing protective ileostomy. METHODS: A total of 116 rectal cancer patients undergoing surgical procedure and prophylactic ileostomy in Tongji Hospital (90 cases) and The Third People's Hospital of Jingdezhen City (26 cases) from May 2011 to October 2016 were prospectively enrolled in the study...
December 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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