臨床外科77巻12号

2022年11月発行

特集 外科医必携　緊急対応が必要な大腸疾患 大腸癌診療での緊急対応

直腸癌術後縫合不全

著者： 肥田侯矢¹ 板谷喜朗¹ 岡村亮輔¹ 奥村慎太郎¹ 笠原桂子¹ 藤田悠介¹ 岡本拓也¹ 河田健二¹ 小濵和貴¹

所属機関： ¹京都大学消化管外科

ページ範囲：P.1289 - P.1295

【ポイント】
◆直腸癌術後縫合不全は外科医が最も避けたい合併症の1つであり，予防も重要である．
◆発症初期は診断が困難なこともあり，適切で迅速な検査が求められる．
◆保存的治療の方法を理解し，必要な場合に人工肛門の造設を検討する．

参考文献

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18）Okoshi K, Masano Y, Hasegawa S, et al：Efficacy of transanal drainage for anastomotic leakage after laparoscopic low anterior resection of the rectum. Asian J Endosc Surg 6：90-95, 2013

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20）山本真司，楠山　明，長山　瑛，他：フィブリン糊充塡が有効であった直腸癌術後難治性瘻孔の1例．外科72：104-107，2010