Colorectal Anastomosis: Factors Influencing Success
The majority of rectal neoplasms can now be resected safely with preservation of the anus. In my practice the ratio of restorative resection to complete rectal excision is 6: 1. The operation is also reasonably safe. In just over 100 consecutive cases the mortality for patients of 75 years and under was nil. For patients over that age the mortality was in the region of 20%. Of six postoperative deaths, five were caused by cardiorespiratory complications and one by peritonitis secondary to anastomotic dehiscence. The latter was in a blind and deaf 87-year-old. She might have been saved by an emergency colostomy but it was decided to dp no more.
KeywordsLeak Rate Suture Line Colorectal Anastomosis Anastomotic Dehiscence Rectal Excision
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