Anastomotic leakage (AL) is a common complication and still is a significant problem following laparoscopic colorectal surgery. Risk factors and prevention for AL are not well-defined.
Methods
A systematic search of electronic databases. Cohort, case-control studies and randomized controlled trials that examined clinical risk factors and prevention for AL were included.
Conclusions
In conclusion, tumor location. ≤6 cm from the anal verge, tumor size > 5 cm, preservation of the left colic artery, male gender, severe malnutrition, body mass index (BMI). ≥25, preoperative Neoadjuvant therapy and steroid therapy, American Society of Anesthesiologists (ASAs) score. ≥3, tobacco abuse, operating time. ≥180 minutes, precompression before stapler firing and multiple firing of the stapler are associated with increase the risk of developing AL. On the other hand, Improve nutritional status, control comorbidities, stop smoking at least 2 weeks before surgery and preoperative use of mechanical bowel preparation, assessment and subsequent adaptation of operative technique without multiple firings of stapler or precompression before stapler firings and the use of transanal tube postoperatively, showed decrease in the al rate following laparoscopic colorectal procedures.
How to cite this article
Badawi A. Anastomotic Leak in Laparoscopic Colorectal Surgery: Risk Factors and Prevention. World J Lap Surg 2015;8(2):43-47.
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