Of anastomotic leakage after low rectal cancer prevention and treatment of.doc

 PAGE \* MERGEFORMAT 12 Of anastomotic leakage after low rectal cancer prevention and treatment of Keywords: anastomotic Anastomotic leakage anal rectal cancer surgery as a major complication rate was high, grave consequences. How to reduce the rectal cancer the incidence of postoperative anastomotic leakage, as well as how to avoid the wake of its serious consequences, become an important issue facing surgeons. Hospital in January 1996 to December 2006 were performed 68 cases of rectal cancer surgery, anastomotic leakage occurred in 8 cases (4.76%). Author of complications of anastomotic leakage to explore the causes and how to prevent, the report is as follows. 1 Data and methods 1.1 General Information The 8 patients, 5 males and 3 females; aged 48 to 71 years, with an average 60.2 years of age. Conservative treatment in 6 cases, 5 cases of success, 1 patient died; emergency line enterostomy fecal diversion surgery in 2 cases, in which transverse colon fistula in 1 case, into Mile’s operation in 1 case. Anastomotic leakage occurred on average after 7d (3 ~ 14d). 1.2 after treatment (1) Diagnosis: lower abdominal pain, perineal swelling, fever, abdominal distension, anal stop exhaust defecation, or anal bulge with a sense of increased frequency of bowel movements, reaching more than 10 times. Sacrococcygeal drainage tube fluid without continuing downward trend, color from light red to turbid purulent, or contain odor and stool-like mass. Temperature is normal 5 ~ 7d after the sudden high fever or persistent low heat about 37 ~ 38 ℃, or on the basis of the original low heat up to body temperature above 39 ℃. Such as checking blood leukocyte and neutrophil increase, C-reactive protein increased significantly. Pelvic drainage tube through the injection of diatrizoate contrast visible contrast agent into the rectum cavity, or through the anus gently insert a thin catheter, injection of diatrizoate hypotonic imaging,