检索结果-南通市图书馆

Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision

引用

Gastroenterology Report 2018年第2期6卷 137-143,I0003页

作者： Jian-ping Wang and Ping Lan Chi Zhou Xian-rui Wu Xuan-hui Liu Yu-feng Chen Jia Ke Xiao-wen He Xiao-sheng He Tuo Hu Yi-feng Zou Xiao-bin Zheng Hua-shan Liu Jian-cong Hu Xiao-jian Wu Jian-ping Wang Ping Lan Department of Colorectal Surgery the Sixth Affiliated Hospital of Sun Yat-sen UniversityGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor DiseasesGuangzhouGuangdong 510065China

Background:The impact of a patient’s gender on the development of anastomotic leak(AL)in rectal cancer patients following total mesorectal excision(TME)remains *** aim of this study was to evaluate the association between patients’gender and the risk of ***:All rectal cancer patients following TME with a primary anastomosis during the study period from 2010 to 2014 were *** of the post-operative AL incidence rate between male and female patients were ***:Of all patients examined(n¼956),587(61.4%)were males and 369(38.6%)were *** patients were more likely to have a history of smoking and drinking alcohol,but less likely to have a history of abdominal surgery compared to female patients.A higher incidence rate of pre-operative bowel obstruction and larger tumor volume in male patients was observed in our *** all the patients,81(8.5%)developed post-operative *** male patients(n¼62,10.6%)suffered from AL than females(n¼19,5.1%)(P¼0.003).Multivariate logistic regression analyses confirmed the association between male gender and AL[odds ratio(OR):2.41,95%confidence interval(CI):1.37–4.23,P¼0.002].Similar results were also obtained in patients who underwent laparoscopic TME(OR:2.11,95%CI:1.15–3.89,P¼0.016).Conclusions:Male patents were found to have an increased risk for AL following TME with a primary anastomosis.A temporary protecting stoma may help to protect the anastomosis and lessen the risk for AL especially in male patients.

关键词： rectal cancer anastomotic leak gender risk factor total mesorectal excision primary anastomosis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Over-the-scope-clipping system for anastomotic leak after colorectal surgery:Report of two cases

引用

World Journal of Gastroenterology 2014年第24期20卷 7984-7987页

作者： Hirotoshi Kobayashi Akifumi Kikuchi Satoshi Okazaki Megumi Ishiguro Toshiaki Ishikawa Satoru Iida Hiroyuki Uetake Kenichi Sugihara Center for Minimally Invasive Surgery Tokyo Medical and Dental UniversityTokyo 113-8519Japan Department of Surgical Oncology Graduate SchoolTokyo Medical and Dental UniversityTokyo 113-8519Japan Department of Translational Oncology Graduate SchoolTokyo Medical and Dental UniversityTokyo 113-8519Japan

An anastomotic leak is one of the major complications following colorectal *** treatments for anastomotic leak are total parenteral nutrition or temporary *** over-the-scope-clipping(OTSC)system was originally developed to treat intestinal perforation or to close the tissue after natural orifice transluminal endoscopic *** cases of successful management of an anastomotic leak after colorectal surgery using the OTSC system are *** patient avoided a temporary *** the other,hospitalization was shortened by the use of the OTSC *** OTSC system can be a potential option in the management of anastomotic leaks after colorectal surgery.

关键词： Over-the-scope-clipping Colorectal cancer anastomotic leak Colorectal surgery Double stapling technique

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Personalized Management of anastomotic leak after Surgery for Esophageal Carcinoma

引用

Chinese Medical Sciences Journal 2012年第1期27卷 35-40页

作者： Hong-yu Ye Wei-zhao Huang Yin-meng Wu Yi Liang Jun-meng Zheng Hai-ming Jiang Department of Cardio-thoracic Surgery Zhongshan Hospital of Sun Yat-sen University(Zhongshan People's Hospital)Zhongshan 528403China

Objective To summarize the management of anastomotic leak following surgery for esophageal car-cinoma. Methods The medical records of the patients developing digestive tract leak after surgery for esophageal carcinoma in our hospital from January 2003 to March 2011 were retrospectively analyzed. Results A total of 36 patients were included, in whom 13 developed cervical anastomotic leak, 18 had intra-thoracic anastomotic leak, and 5 had intra-thoracic gastric necrosis. Of these patients, 7 were treated with resurgery, 6 with esophageal stent implantation, and 23 with conservative treatment. Treatment lasted for 5 to 181 days, averagely 47.0±31.9 days. After management, 9 patients died (25.0%). Among seven patients with resurgery, four had deceased, two were cured, and one developed leak again and was switched to conservative treatment until discharged. All the 6 patients treated with stent implantation were cured. Of the 24 patients receiving conservative treatment (including one switched from resurgery), 18 (75.0%) were cured and 1 was not cured but survived. Conclusions anastomotic leak following surgery for esophageal carcinoma should be treated individually based on the onset time, location, size, and extent of the leakage. Conservative treatment is still a safe and effective *** efficacy of stent implantation needs further investigation to confirm.

关键词： esophageal surgery anastomotic leak resurgery stent

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Endoscopic salvage treatment of histoacryl after stent application on the anastomotic leak after gastrectomy: A case report

引用

World Journal of Clinical Cases 2021年第1期9卷 262-266页

作者： Hee-Sung Kim Yook Kim Joung-Ho Han Department of Internal Medicine Chungbuk National University HospitalChungbuk National University College of MedicineCheongju-si 28644South Korea Department of Radiology Chungbuk National University HospitalCheongju-si 28644South Korea

BACKGROUND Endoscopic approach could effectively manage postoperative anastomotic *** endoscopic methods have been developed for the treatment of anastomotic *** SUMMARY A 53-year-old woman developed anastomotic leak after laparoscopic proximal *** clip closure failed due to strong wall tension;therefore,a fully covered self-expandable esophageal metal stent(fc-SEMS)was placed to cover the leak after it was filled with a mixture of fibrin glue and ***,fluoroscopy with gastrograffin showed dye leaking out of the *** the previous fluoroscopic image for guidance,a catheter was inserted at the leakage *** radiocontrast dye was injected and was seen spreading along the sinus ***,histoacryl was *** days after the last procedure,upper gastrointestinal contrast studies showed no *** patient was subsequently discharged 9 d after histoacryl injection without any *** To seal an anastomosis leak after stent application,salvage technique using histoacryl injection at the leakage site with fluoroscopy guidance could be considered cautiously.

关键词： anastomotic leak Stent Histoacryl Endoscopy Gastrectomy Gastric cancer Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Treatment of esophagogastric anastomotic leak via perianastomotic drain

Treatment of esophagogastric anastomotic leak via perianasto...

引用

中国第九届全国食管癌学术会议

作者： Qin Jianjun,Li Yin,Yan Ming,Wang Guolei,,Zhang Ruixiang

＜正＞Objective:Our objective was to evaluate the effectiveness of a novel method of perianastomotic drain via ***:The most efficient treatment of such leaks remains controversial and there is no standard management of gastroesophageal anastomotic *** the conservative approach,perianastomotic drain is very useful..Methods:We undertook a retrospective review of 5 patients who developed anastomotic leakage,out of 324 patients undergoing oesophagectomy with gastric *** 5 patients had placement of perianastomotic drain via *** other conservative method of treatment was chosen, consisted of absence of oral intake,naso-gastric suction drainage,enteral feeding（via a naso-jejunal tube） and continued antibiotic ***:The perianastomotic drains were placed successfully in all 5 *** of the patients underwent *** were all *** median period to clinical healing was 33 days（range,23-49 days;mean,36.6days）. The median hospital stay after the perianastomotic drainage procedure in the 5 patients was 37 days（range,28-55 days）.Conclusion:This procedure proved to be safe,and effective in the treatment of esophagogastric anastomotic leaks with perianastomotic drain via *** of the infected material is the most important aspect of treatment.

关键词： Esophagectomy anastomotic leak Perianastomotic drain

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

Preoperative neutrophil-to-lymphocyte ratio predicts symptomatic anastomotic leakage in elderly colon cancer patients: Multicenter propensity score-matched analysis

引用

World Journal of Gastrointestinal Surgery 2024年第2期16卷 438-450页

作者： Chao-Yang Wang Xiao-Long Li Xiao-Long Ma Xiong-Fei Yang Yong-Yong Liu Yong-Jiang Yu Department of Clinical Medicine The First Clinical Medical College of Lanzhou UniversityLanzhou 730000Gansu ProvinceChina Department of Gastrointestinal Surgery First Hospital of Lanzhou UniversityLanzhou 730000Gansu ProvinceChina Department of Clinical Medicine Gansu University of Chinese MedicineLanzhou 730000Gansu ProvinceChina Department of Anorectology Gansu Provincial People’s HospitalLanzhou 730000Gansu ProvinceChina Department of General Surgery The Second Hospital Affiliated to Lanzhou UniversityLanzhou 730000Gansu ProvinceChina

BACKGROUND The neutrophil-to-lymphocyte ratio(NLR),a composite inflammatory biomarker,is associated with the prognosis in patients with colorectal ***,whether the NLR can be used as a predictor of symptomatic postoperative ana-stomotic leakage(AL)in elderly patients with colon cancer is *** To assess the role of the NLR in predicting the occurrence of symptomatic AL after surgery in elderly patients with colon *** Data from elderly colon cancer patients who underwent elective radical colectomy with anastomosis at three centers between 2018 and 2022 were retrospectively *** operating characteristic curve analysis was performed to determine the best predictive cutoff value for the ***-two covariates were matched using a 1:1 propensity score matching method,and univariate and multivariate logistic regression analyses were used to determine risk factors for the development of postoperative *** Of the 577 patients included,36(6.2%)had symptomatic *** optimal cutoff value of the NLR for predicting AL was *** propensity score matching,the incidence of AL was significantly greater in the≥2.66 NLR subgroup than in the<2.66 NLR subgroup(11.5%vs 2.5%;P=0.012).Univariate logistic regression analysis revealed statistically significant correlations between blood transfusion intraoperatively and within 2 d postoper-atively,preoperative albumin concentration,preoperative prognostic nutritional index,and preoperative NLR and AL occurrence(P<0.05);multivariate logistic regression analysis revealed that an NLR≥2.66[odds ratio(OR)=5.51;95%confidence interval(CI):1.50-20.26;P=0.010]and blood transfusion intraoperatively and within 2 d postoperatively(OR=2.52;95%CI:0.88-7.25;P=0.049)were risk factors for the occurrence of symptomatic *** A preoperative NLR≥2.66 and blood transfusion intraoperatively and within 2 d postoperatively are associated with a higher incidence of postoperative symptomatic AL in elderly

关键词： Colon cancer anastomotic leak Neutrophil-to-lymphocyte ratio Propensity score-matched

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Construction and validation of a risk-prediction model for anastomotic leakage after radical gastrectomy: A cohort study in China

引用

Laparoscopic, Endoscopic and Robotic Surgery 2024年第1期7卷 34-43页

作者： Jinrui Wang Xiaolin Liu Hongying Pan Yihong Xu Mizhi Wu Xiuping Li Yang Gao Meijuan Wang Mengya Yan Nursing Department Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China Department of General Surgery Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China School of Nursing Zhejiang Chinese Medical UniversityHangzhou 310053China

Objectives:anastomotic leakage(AL)stands out as a prevalent and severe complication following gastric cancer *** frequently precipitates additional serious complications,significantly influencing the overall survival time of *** study aims to enhance the risk-assessment strategy for AL following gastrectomy for gastric ***:This study included a derivation cohort and validation *** derivation cohort included patients who underwent radical gastrectomy at Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,from January 1,2015 to December 31,*** evidence-based predictor questionnaire was crafted through extensive literature review and panel *** on the questionnaire,inpatient data were collected to form a model-derivation *** cohort underwent both univariate and multivariate analyses to identify factors associated with AL events,and a logistic regression model with stepwise regression was developed.A 5-fold cross-validation ensured model *** validation cohort included patients from August 1,2021 to December 31,2021 at the same *** the same imputation method,we organized the validation-queue *** then employed the risk-prediction model constructed in the earlier phase of the study to predict the risk of AL in the subjects included in the validation *** compared the predictions with the actual occurrence,and evaluated the external validation performance of the model using model-evaluation indicators such as the area under the receiver operating characteristic curve(AUROC),Brier score,and calibration ***:The derivation cohort included 1377 patients,and the validation cohort included 131 *** independent predictors of AL after radical gastrectomy included age65 y,preoperative albumin<35 g/L,resection extent,operative time240 min,and intraoperative blood loss90 *** predictive model exhibited a solid AUROC of 0.750(95%CI:0.694e0.806;p<0.001)with a Br

关键词： Stomach neoplasms anastomotic leak Risk factors Prediction model Risk assessment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effect of rapid rehabilitation nursing on improving clinical outcomes in postoperative patients with colorectal cancer

引用

World Journal of Gastrointestinal Surgery 2024年第7期16卷 2119-2134页

作者： Jing-Yan Song Jing Cao Jian Mao Jiang-Lian Wang Department of Nursing The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of Oncology The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Information Center The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of Oncology Yunyang County People's HospitalChongqing 400016China

BACKGROUND Surgical resection is the cornerstone treatment for colorectal *** rehabilitation care predicated on evidence-based medical theory aims to improve postoperative nursing care,subsequently reducing the physical and mental traumatic stress response and helping patients who undergo surgery recover *** To assess the effect of rapid rehabilitation care on clinical outcomes,including overall postoperative complications,anastomotic leaks,wound infections,and intestinal obstruction in patients with colorectal *** We searched the PubMed,Web of Science,Embase,Elsevier Science Direct,and Springer Link databases from January 1,2010,to January 1,2024,to screen eligible studies on rapid rehabilitation care among patients who underwent colorectal cancer *** were screened based on the inclusion and exclusion *** 5.4 software was used for statistical analysis of the *** Twelve studies were enrolled,which included 2420 *** results showed that rapid rehabilitation care decreased the incidence of overall postoperative complications(OR:0.44,95%CI:0.26–0.74,P=0.002),anastomotic leaks(OR:0.68,95%CI:0.41–1.12,P=0.13),wound infections(OR:0.45,95%CI:0.29–0.72,P=0.0007),and intestinal obstruction(OR:0.54,95%CI:0.34–0.86,P=0.01)compared to conventional *** trials and studies are needed to confirm these *** Rapid rehabilitation care decreased the occurrence of postoperative complications,anastomotic leaks,wound infections,and intestinal obstruction compared to conventional care in patients who underwent colorectal ***,promoting the application of rapid rehabilitation care in clinical practice cannot be overemphasized.

关键词： Rapid rehabilitation care anastomotic leak Wound infection Intestinal obstruction Colorectal cancer

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Preservation of superior rectal artery in laparoscopic colectomy:The best choice for slow transit constipation?

引用

World Journal of Gastrointestinal Surgery 2024年第7期16卷 2362-2364页

作者： Yi-Lei Liu Wei-Cheng Liu Department of Gastrointestinal Surgery Second Affiliated Hospital of Naval Medical University(Shanghai Changzheng Hospital)Shanghai 200003China Department of Colorectal and Anal Surgery(Clinical Center for Pelvic Floor Surgery) Zhongnan Hospital of Wuhan UniversityWuhan 430071Hubei ProvinceChina

Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment,particularly if the superior rectal artery(SRA)is *** important concerns have been addressed in this *** is important to first go over the definition of surgical procedure as it is used in this ***,the current study lacked a control group that had SRA ***,it would be best to use a prospective,randomized controlled ***,a description of the mesenteric defect’s state following a laparoscopic colectomy is necessary.

关键词： Laparoscopic colectomy Slow transit constipation Ileorectal anastomosis Superior rectal artery anastomotic leak

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Experimental models of high-risk bowel anastomosis in rats:A systematic review

引用

World Journal of Experimental Medicine 2024年第2期14卷 114-131页

作者： Georgios Ntampakis Manousos-Georgios Pramateftakis Elissavet Anestiadou Stefanos Bitsianis Orestis Ioannidis Chryssa Bekiari George Koliakos Maria Karakota Anastasia Tsakona Angeliki Cheva Stamatios Angelopoulos Fourth Department of Surgery Medical SchoolAristotle University of ThessalonikiThessaloniki 57010Greece Laboratory of Anatomy and Histology School of Veterinary MedicineFaculty of Health SciencesAristotle University of ThessalonikiThessaloniki 54124Greece Experimental and Research Center Papageorgiou General Hospital of ThessalonikiThessaloniki 56403Greece Laboratory of Biochemistry Faculty of MedicineAristotle University of ThessalonikiThessaloniki 54124Greece Department of Pathology Faculty of MedicineAristotle University of ThessalonikiThessaloniki 54124Greece

BACKGROUND anastomotic leaks remain one of the most dreaded complications in gastrointestinal surgery causing significant morbidity,that negatively affect the patients’quality of *** studies play an important role in understanding the pathophysiological background of anastomotic healing and there are still many fields that require further *** drawn from these studies can lead to interventions or techniques that can reduce the risk of anastomotic leak in patients with high-risk *** the advances in experimental protocols and techniques,designing a high-quality study is still challenging for the investigators as there is a plethora of different models *** To review current state of the art for experimental protocols in high-risk anastomosis in *** This systematic review was performed according to The Preferred Reporting Items for Systematic Reviews and Meta-Analyses *** identify eligible studies,a comprehensive literature search was performed in the electronic databases PubMed(MEDLINE)and Scopus,covering the period from conception until 18 October *** From our search strategy 102 studies were included and were categorized based on the mechanism used to create a high-risk *** of assessing anastomotic healing were extracted and were individually *** anastomotic healing studies have evolved over the last decades,but the findings are yet to be translated into human *** is a need for high-quality,well-designed studies that will help to the better understanding of the pathophysiology of anastomotic healing and the effects of various interventions.

关键词： High-risk anastomosis Rats Experimental models Bowel Colon anastomotic leak Colon resection Inflammatory bowel disease Intra-abdominal sepsis Bursting pressure

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：