Contents Menu

The complications and their treatment after low anterior resection for rectum carcinoma with auto sture

山口医学 Volume 39 Issue 3 Page 443-447
published_at 1990-06
Title
器械吻合を用いた直腸癌低位前方切除術の術後合併症とその対策
The complications and their treatment after low anterior resection for rectum carcinoma with auto sture
Creators Tanaka Akiyoshi
Creators Misuta Eishi
Creators Uchiyama Tetsuji
Creators Nishihara Kenji
Creators Adachi Jun
Creators Shimizu Ryoichi
Creators Oka Masaaki
Creators Murakami Takuo
Creators Suzuki Takashi
Source Identifiers
From May, 1982, low anterior resection with EEA(end to end anastomisis) equipment had been undergone for 30 patients with rectum carsinoma. As postoperetive complications, anastomotic lealage was obsered in 13.3% of cases, bleeding at anastmotic site lasting for more than 2days in 10.0%, and anastmotic narrowing smaller than the size of index finger in 6.7%. Anastomotic leakage had healed up with conservative therapy including fasting, IVH and appororiate drainage. The preoperative nutritious state in the anastomotic leakage group was compered with that in the no leakage group by means of total serum protein, albumin, cholestrol, and cholinesterase as indicators, and no significant difference was recognized. Therefore, the cause od anastomotic leakage was presumed to be the failure in manipulation of EEA or the inconsideration of anatomical factor of lower rectum. Bleeding from the anastomotic site was major somplication in patient with leakage and was stopped by conserbative therapy alone. The anastomotic narrowinf may have occurred without any relation with the size of EEA. All our cases were relieved by manual bougie.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1990-06
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部