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Effect of pelvic drain displacement on anastomotic leakage-related morbidity after rectal cancer surgery

Lee HY, Kang SI, Kim SH, Kim JH

Purpose: Drain insertion after proctectomy is common in clinical practice, although the effectiveness of drains has been questioned. However, drains are commonly displaced after surgery. We hypothesized that drain displacement...
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Clinical effect and standardization of indocyanine green angiography in the laparoscopic colorectal surgery

Son GM, Ahn Hm, Lee IY, Lee SM, Park SH, Baek KR

Anastomotic complications occur after 5% to 20% of operations for rectosigmoid colon cancer. The intestinal perfusion status at the anastomotic site is an important modifiable risk factor, and surgeons should...
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The usefulness of transanal tube for reducing anastomotic leak in mid rectal cancer: compared to diverting stoma

Cho SH, Lee IK, Lee YS, Kim MK

Purpose: Diverting stoma (DS) and transanal tube (TAT) are the 2 main procedures for reducing anastomotic leak (AL) in rectal cancer surgery. However, few studies have compared the protective effect...
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Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

De Robles MSB, Young CJ

Purpose: Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple...
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Tailored treatment of anastomotic leak after rectal cancer surgery according to the presence of a diverting stoma

Kim CH, Lee J, Kwak HD, Lee SY, Ju JK, Kim HR

Purpose: A variety of clinical features of anastomotic leak occur during the surgical treatment of rectal cancer. However, little information regarding management of leakage is available and treatment guidelines have...
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How to Prevent Anastomotic Leak in Colorectal Surgery? A Systematic Review

Chaouch MA, Kellil T, Jeddi C, Saidani A, Chebbi F, Zouari K

Anastomosis leakage (AL) after colorectal surgery is an embarrassing problem. It is associated with poor consequence. This review aims to summarize published evidence on prevention of AL after colorectal surgery...
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Role of Endoscopic Vacuum Therapy as a Treatment for Anastomosis Leak after Esophageal Cancer Surgery

Lee DK, Min YW

Esophageal anastomotic leak is the most common and serious complication followingesophagectomy. However, the standard treatment for anastomotic leaks remains unclear.Recently, endoscopic vacuum therapy has become an important non-surgical alternativetreatment method...
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Compression injury of the circular stapler for gastrointestinal end-to-end anastomosis: preliminary in-vitro study

Son GM, Kwon MS, Ahn Hm, Lee IY, Kim GH, Nam KW, Lee J, Kong CS

Purpose: This preliminary in-vitro study was designed to evaluate the risk factors of compression injury from use of a circular stapler for end-to-end anastomosis. Methods: Transparent collagen plates were prepared in...
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Role of Mechanical Bowel Preparation for Elective Colorectal Surgery

Kim IY

The presence of bowel contents during colorectal surgery has been related to surgical site infections (SSI), anastomotic leakage (AL) and postoperative complications theologically. Mechanical bowel preparation (MBP) for elective colorectal...
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Is platelet-rich plasma improves the anastomotic healing in hyperthermic intraperitoneal chemotherapy with oxaliplatin: an experimental rat study

Buk OF, Ocak S, Genc B, Avcı B, Uzuner HO

PURPOSE: Hyperthermic intraperitoneal chemotherapy (HIPEC) is a novel treatment option for peritoneal surface malignancies. Due to cytotoxic effects of chemotherapeutic agents, anastomosis healing can be impaired and lead to leakage...
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Early Metabolic and Inflammatory Intraperitoneal Changes After Rectum Perforation

Oikonomakis I, Horer TM, Skoog P, Nilsson KF, Jansson K

Purpose: Anastomotic leakage (AL) is the most dreaded complication in rectal surgery. It has a great impact on postoperative morbidity and mortality. This animal model, in which we have studied...
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Efficacy of Endoscopic Vacuum-Assisted Closure Treatment for Postoperative Anastomotic Leak in Gastric Cancer

Choi SI, Park JC, Jung DH, Shin SK, Lee SK, Lee YC

Background/Aims: Endoscopic vacuum-assisted closure (EVAC) has been attempted as new nonsurgical treatment for anastomotic leakage. We aimed to evaluate the clinical outcomes of EVAC and compare its efficacy with the...
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A case with combined postoperative bile leakage and anastomotic stricture after liver transplantation treated with magnet compression anastomosis

Han SJ, Jang SI, Yoo SH, Lee DK

Liver transplantation (LT) is a viable treatment for fatal end-stage liver disease. Anastomotic bile leakage and anastomotic stricture are considered as major post-LT complications. Stent insertion by endoscopic retrograde cholangiopancreatography...
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Optimal strategies of rectovaginal fistula after rectal cancer surgery

Woo IT, Park JS, Choi GS, Park SY, Kim HJ, Lee HJ

PURPOSE: Rectovaginal fistula (RVF) after low anterior resection for rectal cancer is a type of anastomotic leakage. The aim of this study was to find out the difference of leakage,...
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Bowel resection rate but not bowel related morbidity is decreased after interval debulking surgery compared to primary surgery in patents with stage IIIC–IV ovarian cancer

Tozzi R, Casarin J, Baysal A, Valenti G, Kilic Y, Majd HS, Morotti M

OBJECTIVE: To assess the morbidity associate with rectosigmoid resection (RSR) in patients with stage IIIC–IV ovarian cancer (OC) undergone primary debulking surgery (PDS) vs. interval debulking surgery (IDS) after neoadjuvant...
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Timing of Esophagectomy after Neoadjuvant Chemoradiation Therapy Affects the Incidence of Anastomotic Leaks

Roh S, Iannettoni MD, Keech J, Arshava EV, Swatek A, Zimmerman , Weigel RJ, Parekh KR

BACKGROUND: Neoadjuvant chemoradiation therapy (nCRT) has become the standard of care for esophageal cancer patients prior to esophagectomy. However, the optimal timing for surgery after completion of nCRT remains unclear. METHODS:...
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Anastomotic Sinus That Developed From Leakage After a Rectal Cancer Resection: Should We Wait for Closure of the Stoma Until the Complete Resolution of the Sinus?

Chung CT, Baek SJ, Kwak JM, Kim J, Kim SH

PURPOSE: The aims of this study were to identify the clinical characteristics of an anastomotic sinus and to assess the validity of delaying stoma closure in patients until the complete...
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Patterns of antibiotics and pathogens for anastomotic leakage after colorectal cancer surgery

Yang G, Kim CW, Lee SH

PURPOSE: Anastomotic leakage (AL) is a type of intra-abdominal infection (IAI) which requires appropriate antibiotics with proper intervention. This study aimed to improve the appropriateness of antibiotic treatment by assessing...
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Successful Management of a Gastric Leak with Endoscopic Stent after Sleeve Gastrectomy

Park SH, Shim KN, Lee KH, Choe AR, Jeon HK, Kim JW, Tae CH, Moon CM, Kim SE, Jung HK, Jung SA, Lee JH

Laparoscopic sleeve gastrectomy has become a standard procedure in bariatric surgery owing to its efficacy and simplicity. However, this procedure can cause life-threatening complications such as a gastric staple-line leak....
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Novel Endoscopic Stent for Anastomotic Leaks after Total Gastrectomy Using an Anchoring Thread and Fully Covering Thick Membrane: Prevention of Embedding and Migration

Jung GM, Lee SH, Myung DS, Lee WS, Joo YE, Jung MR, Ryu SY, Park YK, Cho SB

PURPOSE: The endoscopic management of a fully covered self-expandable metal stent (SEMS) has been suggested for the primary treatment of patients with anastomotic leaks after total gastrectomy. Embedded stents due...
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