Post-operative peritonitis due to anastomotic dehiscence after colonic resection. Multicentric experience, retrospective analysis of risk factors and review of the literature

Annali Italiani di Chirurgia

Volumn 82, Issue 5, 2011, Pages 369-376

  Ruggiero, Roberto ^a,b   Sparavigna, Luigi ^a,b   Docimo, Giovanni ^a,c   Gubitosi, Adelmo ^a,d   Agresti, Massimo ^a,d   Procaccini, Eugenio ^a,c   Docimo, Lodovico ^a,b  

^a SECOND UNIVERSITY OF NAPLES   (Italy)

^b XI Division of General Surgery   (Italy)

^c V Division of General Surgery   (Italy)

^d X Division of General Surgery   (Italy)

Author keywords

Anastomotic leakage; Colonic anastomoses; Postoperative peritonitis

Indexed keywords

ADULT; AGED; ANASTOMOSIS; CLINICAL TRIAL; COLON DISEASE; COLON RESECTION; COLON TUMOR; FEMALE; HUMAN; INCIDENCE; INTESTINE FISTULA; ITALY; MALE; MICROBIOLOGY; MIDDLE AGED; MORTALITY; MULTICENTER STUDY; PERITONITIS; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDY; REVIEW; RISK FACTOR; SURVIVAL; WOUND DEHISCENCE;

ADULT; AGED; AGED, 80 AND OVER; ANASTOMOSIS, SURGICAL; COLECTOMY; COLONIC DISEASES; COLONIC NEOPLASMS; FEMALE; HUMANS; INCIDENCE; INTESTINAL FISTULA; ITALY; MALE; MIDDLE AGED; PERITONITIS; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDIES; RISK FACTORS; SURGICAL WOUND DEHISCENCE; SURVIVAL ANALYSIS;

EID: 84856365358     PISSN: 2239253X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (36)

1. Milevski WJ, Joehl RJ, Rege RW, Nahrwold DL: Treatment of anastomotic leakage following low anterior colon resection. Arch Surg, 1988; 123:968-71.
2. Montesani C, De Milito R, Chiappatone S, Narilli P, D'Amato A., Ribotta G: Critical evaluation of the anastomoses in large bowel surgery: Experience in 533 cases. Hepato-gastroenterology, 1992; 39:304-8.
3. Golub R: A multivariate analysis of factors contributing to leakage of intestinal anastomoses. J Am Coll Surg, 1997; 184:364-72.
4. Testini M, Scasso S, Loiotila L, et al.: Comparison of oxidative phosphorilation in the anastomoses of the small and large bowel. An experimental study in the rabbit. Eur Surg Res, 1998; 30:1-7.
5. Rullier E, Laurent C, Garrelon JL, Michel P, Saric J, Parneix M: Risk factors for anastomotic leakage after resection of rectal cancer. Br J Surg, 1998; 85:355-58.
6. Mynster T, Nielsen HJ: The impact of storage time of transfused blood on postoperative infectious complications in rectal cancer surgery. Danish RANX05 Colorectal Cancer Study Group. Scand J Gastroenterol, 2000 35(2):212-17.
7. Jex RK., Van Herden JA., Wolf BG: Gastrointestinal anastomoses. Factors affecting early complications. Ann Surg, 1992; 206:138-41.
8. Cohen IK, Diegelmann RF, Johson ML: Effect of corticosteroids on collagen synthesis. Surgery, 1977; 82:15.
9. Eubanks TR, Greenberg JJ, Dobrin PB, Harford FJ, Gamelli RL: The effects of different corticosteroids on the healing colon anastomoses and cecum in a rat model. Am Surg, 1997; 63:266.
10. Brown JS, Lee N, Lowe D, Browne RM: Effect of short-therm hig dose of steroids on the healing of microvascular anastomoses in a rabbit model: Pilot study. Br J Maxillofac Surg, 2000; 38:167.
11. De Waard JW, Wobbes T. van der Linden CJ, Hendriks T: Retinol may promote fluorouracil-suppressed healing of experimental intestinal anastomoses. Arch Surg, 1995; 130:959-65.
12. Whitaker BL, Dixon RA, Greatorex G: Anastomotic failure in relation to blood transfusion and blood loss. Proc Roy Soc Med, 1970; 63:751.
13. Vignali A, Gianotti L, Braga M, Radaelli G, Malvezzi L, Di Carlo V: Altered microperfusion at the rectal stump is predictive for rectal anastomotic leak. Dis Colon Rectum, 2000; 43(1):76-82.
14. Kato M, Suzuki H, Murakami M, Akama M. Matsukawa S, Hashimoto Y: Elevated plasma levels of interleukin-6, interleukin-8 and granulocyte colony-stimulating factor during and after major abdominal surgery. J Clin Anesth, 1997; 9(4):293-98.
15. Ryan P, Schweitzer S, Collopy B, Taylor D: Combined epidural and general anesthesia versus general anesthesia in patients having colon and rectal anastomoses. Acta Chir Scand Suppl, 1989; 550:146-69; discussion 149-51.
16. Secco GB, Fardelli R, Rovida S, et al.: Studio retrospettivo su 116 casi di anastomosi colorettali, manuali e meccaniche, per cancro del retto. Chirurgia, 1996; 9:92-98.
17. The French Association for Surgical Research, Fingerhut A, Hay JM, Elhadad A, Lacaine F, Flamant Y: Supraperitoneal colorectal anastomoses: hand-sewn versus circular staples. A controlled clinical trial. Surgery, 1995; 118(3):479-85.
18. Karanjia ND, Corder AP, Bearn P, Heald RJ: Leakage from stapled low anastomoses after total mesorectal excision for carcinoma of the rectum. Br J Surg, 1994; 81(8):1224-26.
19. Pernacchia A, Violi V, Sarli L, Pietra N: Deiscenze anastomotiche dopo resezione del colon sinistro e del retto per cancro. Atti Soc It Chir Roma; 1994. vol.1. Roma: Ediz L. Pozzi, 1994; 59-71.
20. Gargiulo A, Benedetti Valentini G, Caserta G, Gargiulo A jr., Manzi F: Le peritoniti postoperatorie nella chirurgia colorettale. Atti Soc It Chir 1998, Roma Vol. II. Roma: Ediz L. Pozzi, 1998; 31-38.
21. Longo WE, Milson JW, Lavery IC, Church JC, Oakley JR, Fazio VW: Pelvic abscess after colon and rectal surgery. What is optimal management. Dis Colon Rectum, 1993; 36:936-41.
22. Hirschberg A, Stein M, Adar R: Reoperation: planned and unplanned. 1: Surg Clin North Am, 1997; 77(4):897-907.
23. Schmidt O, Merkel S, Hohenberger W: Anastomotic leakage after low rectal stapler anastomosis: Significance of intraoperative anastomotic testing. Eur J Surg Oncol, 2003; 29(3):239-43.
24. Abete M, Ronchetti V, Casano A, Pescio G: Anastomotic leakage after traditional surgery of the colon and rectum Minerva Chir, 2003; 58(2):167-74
25. Brigand C, Rohr S, Meyer C: Colorectal stapled anastomosis: results after anterior resection of the rectum for cancer. Ann Chir, 2004; 129(8):427-32. French.
26. Matthiessen P, Hallbook O, Andersson M, Rutegard J, Sjodahl R.: Risk factors for anastomotic leakage after anterior resection of the rectum. Colorectal Dis, 2004; 6(6):462-69.
27. Ruggiero R, Procaccini E, Gili S, Cremone C, Parmeggiani D, Conzo G, Docimo L, Sparavigna L, Gubitosi A, Docimo, G, Sanguinetti A, Avenia N: New trends on fibrin glue in seroma after axillary lymphadenectomy for breast cancer. Giornale di Chirurgia, 2009; 30:305-310.
28. Agnifili A, Schietroma M, Carloni A, Mattucci S, Caterino G, Lygidakis NJ, Carlei F: The value of omentoplasty in protecting colorectal anastomosis froma leakage. A prospective randomized study in 126 patients. Hepatogastroenterology, 2004; 51 (60):1694-697.
29. Buie WD, Maclean AR, Attard JA, Brasher PM, Chan AK: Neoadjuvant chemoradiation increases the risk of pelvic sepsis after radical excision of rectal cancer. Dis Colon Rectum, 2005; 48 (10): 1868-874.
30. Yeh CY, Changchien CR, Wang JY, Chen JS, Chen HH, Chiang JM, Tang R: Pelvic drainage and other risk factors for leakage after elective anterior resection in rectal cancer patients: A prospective study of 978 patients. Ann Surg, 2005; 241 (1):9-13.
31. Eriksen MT, Wibe A, Norstein J, Haffner J, Wiig JN: Norwegian Rectal Cancer Group: Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients. Colorectal Dis, 2005; 7(1):51-57.
32. Wong NY, Eu KW: A defunctioning ileostomy does not prevent clinical anastomotic leak after a low anterior resection: A prospective, comparative study. Dis Colon Rectum, 2005; 48(11):2076-79.
33. Petitti T, Lippolis G, Ferrozzi L: A serious complication in colorectal surgery: Anastomotic leakage. Our experience. G Chir, 2005; 26(10):371-74.
34. Hsu TC: Comparison of one-stage resection and anastomosis of acute complete obstruction of left and right colon. Am J Surg, 2005; 189(4):384-87.
35. Hirano Y, Omura K, Tatsuzawa Y, Shimizu J, Kawaura Y, Watanabe G: Tissue oxygen saturation during colorectal surgery measured by near-infrared spectroscopy: Pilot study to predict anastomotic complications. World J Surg, 2006; 30(3):457-61.
36. Matthiessen P: Risk factors for anastomotic leakage after anterior resection of the rectum. Colorectal Dis, 2006; 8(4):366.