当前位置: X-MOL 学术J. Gastrointest. Surg. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Anastomotic Leak: Toward an Understanding of Its Root Causes
Journal of Gastrointestinal Surgery ( IF 3.2 ) Pub Date : 2021-06-07 , DOI: 10.1007/s11605-021-05048-4
John C Alverdy 1 , Hans Martin Schardey 2, 3
Affiliation  

Background

When an anastomotic leak is discussed at a typical surgical morbidity and mortality conference, it is often presented as a due to an error in surgical technique involving ischemia, tension, or device failure. Here we assert that without direct visual analysis of the leak site and its tissue histology, an ex post facto claim that an anastomotic leak is due to an error in surgical technique remains speculative.

Methods

The arguments and rationale used to conclude that an anastomotic leak is due to an error in surgical technique are critically reviewed and assessed for their validity.

Results

No case series or literature exists in which a root cause analysis has been carried out with visual and tissue level evidence to determine the root cause(s) of an anastomotic leak.

Conclusions

At the individual case level, declaring that an anastomotic leak is due to an error in surgical technique without clear and compelling evidence either visually and/or at the tissue level to substantiate such a claim remains speculative.



中文翻译:

吻合口漏:了解其根本原因

背景

当在典型的外科发病率和死亡率会议上讨论吻合口漏时,它通常被认为是由于涉及缺血、张力或装置故障的外科技术错误。在这里,我们断言,如果没有对泄漏部位及其组织组织学的直接视觉分析,事后声称吻合口泄漏是由于手术技术的错误仍然是推测性的。

方法

用于得出吻合口漏是由于手术技术错误的论点和基本原理经过严格审查和评估其有效性。

结果

没有案例系列或文献中使用视觉和组织水平证据进行根本原因分析以确定吻合口漏的根本原因。

结论

在个别情况下,在没有视觉和/或组织水平的明确和令人信服的证据来证实这种说法的情况下,宣布吻合口漏是由于手术技术错误引起的,这仍然是推测性的。

更新日期:2021-06-08
down
wechat
bug