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Is preoperative bowel preparation needed before elective colectomy?
Ist Teil von
The Lancet (British edition), 2019-09, Vol.394 (10201), p.808-810
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2019
Quelle
Elsevier ScienceDirect Journals Complete
Beschreibungen/Notizen
[...]78% of the patients in the study underwent laparoscopic colonic resection, which is a much higher rate of minimally invasive surgery than in most other series. [...]as would be expected when the majority of patients underwent colectomy rather than proctectomy, the most commonly performed operation was resection of the right colon. Without this important information, one can only surmise that these left-sided anastomoses were all low-risk upper rectal anastomoses in patients who did not receive preoperative neoadjuvant chemoradiotherapy. [...]the risk of anastomotic leak in this group would be considerably lower than in patients included in previous studies (appendix).