A prospective algorithm to reduce anastomotic leaks after rectosigmoid resection for gynecologic malignancies

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• 作者：E. Kalogera¹ ; C.C. Nitschmann¹ ; S.C. Dowdy ; W.A. Cliby ; C.L. Langstraat ; ^{langstraat.carrie@mayo.edu}
• 关键词：OC ; ovarian cancer ; AL ; anastomotic leak ; RSR ; rectosigmoid resection ; LBR ; large bowel resection ; BMI ; body mass index ; LOS ; hospital length of stay ; TTC ; time to chemotherapy
• 刊名：Gynecologic Oncology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：144
• 期：2
• 页码：343-347
• 全文大小：255 K
• 卷排序：144

文摘

Criteria-based temporary bowel diversion following rectosigmoid resection may reduce anastomotic leak rate and morbidity. No anastomotic leaks were observed among diversions. Prophylactic bowel diversion carries acceptable morbidity, but requires an additional surgery. Bowel diversion reversal rates were high even after debulking surgery for gynecologic malignancies.