Información del artículo
Resumen
Las fístulas anastomóticas tras resección anterior baja mediante técnica de doble grapado en cáncer de recto pueden abocar al fracaso de la técnica con colostomía definitiva. Presentamos una pauta terapéutica de rescate en tres pacientes mediante drenaje transanastomótico del absceso retrorrectal, nutrición parenteral y antibioterapia.
Palabras clave:
Palabras clave
Resección anterior baja
Fístula anastomótica
Técnica de doble grapado
Anastomotic leakage after low anterior resection with double-stapling technique for rectal carcinoma can lead to failure of the technique and the need for a permanent stoma. We present a rescue technique that was performed in three patients. The technique involved transanastomotic drainage of the postrectal space, parenteral nutrition and antibiotic therapy.
Key words:
Low anterior resection
Anastomotic leakage
Double-stapled anastomosis
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Bibliografía
[1.]
Ph.B. Paty, W.E. Enker, A.M. Cohen, G.Y. Lauwers.
Treatment of rectal cancer by low anterior resection with coloanal anastomosis.
Ann Surg, 219 (1994), pp. 365-373
[2.]
T.E. Pakkastie, P.E. Luukkonen, H.J. Jarvinen.
Anastomotic leakage after anterior resecction of the rectum.
Eur J Surg, 160 (1994), pp. 293-297
[3.]
L. Belli, C.A. Beati, M. Frangi, P. Asensi, G.F. Rondinara.
Outcome of patients with rectal cancer treated by stapled anterior resection.
Br J Surg, 75 (1988), pp. 422-424
[4.]
J.A. Grabham, B.J. Moran, R.H.S. Lane.
Defuntioning colostomy for low anterior resection: a selective approach.
Br J Surg, 82 (1995), pp. 1331-1332
[5.]
N.D. Karanjia, A.P. Corder, P.J. Holdsworth, R.J. Helad.
Risk of peritonitis and fatal septicaemia and the need to defunction the low anastomosis.
Br J Surg, 78 (1991), pp. 196-198
[6.]
L. Meleagros, P.P. Varty, P. Delrio, P.B. Boulos.
Influence of tempotary faecal diversión on long-term survival after curative surgery for colorectal cancer.
Br J Surg, 82 (1995), pp. 21-25
[7.]
J. Goligher.
5th ed, Bailliere, (1984),
[8.]
F.J. Cerdán, R. Cantero, S. Martínez, J. Torres-Melero, O. González, M. Sanz, et al.
Técnica de doble grapado en anastomosis colorrectales.
Cir Esp, 59 (1996), pp. 224-226
[9.]
S. Lele, D. Radstone, J. Eremin, R. Kendal, K.B. Hosie.
Prospective audit following the introduction of short-course preoperative radiotherapy for rectal cancer.
Br J Surg, 87 (2000), pp. 97-99
[10.]
N.A. Mahesh Kumar, D.A. Nichols, N.A. Scott.
Per-rectal drainage of anastomotic abscess in patients with rectal cancer who have received preoperative radiotherapy.
Br J Surg, 89 (2002), pp. 1025-1026
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