書誌事項
- タイトル別名
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- A study of risk factors and the prevention of anastomotic leakage after surgery for colorectal cancer.
この論文をさがす
抄録
To clarify factors improving the condition of anastomotic leakage that is one of the severe postoperative complications of colorectal cancer, we retrospectively examined consecutive 675 patients undergoing ordinary or emergency operation for colorectal cancer at this hospital for the past 12 years. In this study, we also examined the correlation between ileus and anastomotic leakage, particularly whether preoperative insertion of a retrograde decompression ileus tube was useful for the prevention of anastomotic leakage. Anastomotic leakage occurred in 47 patients (7.0%). Male, preoperative ileus, cancer of the lower part of rectum and lymph node metastasis were risk factors of anastomotic leakage. Of 34 patients treated conservatively, there was a significantly negative correlation (p<0.001) between the day of the onset of anastomotic leakage and the day of beginning of oral intake. Of the 47 patients experienced anastomotic leakage, eight patients underwent reoperation, but after the reoperation, all patients had a good postoperative course. Five out of the 47 patients with anastomotic leakage (10.6%) died in the hospital. The mortality rate in the patients with anastomotic leakage was significantly higher than those without episodes of anastomotic leakage (hospital death 1.9%). We were able to decrease the incidence of anastomotic leakage as well as emergency operations for patients with colorectal cancer presented with ileus, by inserting a retrograde decompression ileus tube.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 64 (2), 317-322, 2003
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204845576064
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- NII論文ID
- 130003603493
- 10010512437
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可