Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?

被引：1

作者：

Sarofim, Mina ^{[1
,2
,3
]}

机构：

[1] St George Hosp, Liver & Peritonect Unit, Kogarah, NSW, Australia

[2] Univ New South Wales, Sch Med, Sydney, Australia

[3] Univ Sydney, Sch Med, Camperdown, NSW, Australia

来源：

LANGENBECKS ARCHIVES OF SURGERY | 2024年 / 409卷 / 01期

关键词：

Anastomotic leak; Anastomosis; Epiploic steal; Colorectal;

D O I：

10.1007/s00423-024-03410-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

PurposeEnsuring optimal colonic perfusion is a critical step in every colorectal anastomosis. The aim of this study is to describe the concept of epiploic steal.MethodsA literature review was performed to identify studies evaluating anastomotic blood supply. The fundamental principle of epiploic steal is outlined.ResultsEpiploic steal has not been previously evaluated in the literature, and likely has a negative effect on colonic blood supply. Resection of colonic epiploicae may improve perfusion at the distal most lengths of a mobilised colonic conduit where the anastomosis requires it.ConclusionThis novel concept has the potential to change practice and reduce colorectal anastomotic leak rates. Further clinical studies are required.

引用

页数：2

共 5 条

[1] The Colorectal Anastomosis: A Timeless Challenge [J].