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- W3205221605 abstract "El valor de las pruebas de filtración durante resecciones colorrectales para identificar fuga o sangrado de anastomosis no está establecido. Nuestro objetivo es comparar el impacto de la colonoscopia intraoperatoria (CIO) versus insuflación con jeringa como prueba de fuga en resección anterior baja para cáncer de recto, con respecto a la incidencia de filtración postoperatoria (FP). Estudio retrospectivo sobre base de datos prospectiva de 426 pacientes con cáncer de recto sometidos a resección anterior baja electiva desde enero de 2015 hasta diciembre de 2019. La prueba de fuga anastomótica se realizó a criterio del cirujano. La incidencia de FP se comparó entre pacientes sometidos a CIO y prueba con jeringa, utilizando el análisis de regresión logística, incluido el análisis de emparejamiento por puntaje estimado de propensión. Las características clínicas y morbimortalidad no mostraron diferencias significativas entre los grupos. En total fueron 422 pacientes, una vez excluidos 4. Se compararon 70 pacientes CIO frente a 352 con prueba con jeringa. La incidencia de FP fue del 5.7% en CIO y del 12.2% en el grupo control (p = 0.001). Después del emparejamiento por puntaje de propensión (n = 221), equilibrando las características entre los grupos, la incidencia de FP fue del 5.7% en CIO y del 13.9% en el grupo con jeringa (p = 0.001). La CIO es un método seguro para evaluar la integridad de la anastomosis colorrectal y se asocia con un mayor porcentaje de estoma de protección, lo que parece disminuir el riesgo de FP. The value of leakage testing during colorectal resections to identify anastomotic leaks or bleeding has not been established. Our aim was to compare the impact of intraoperative colonoscopy (IOC) versus insufflation with a syringe, as leakage testing in lower anterior resection for rectal cancer, with respect to the incidence of postoperative leakage (PL). A retrospective study utilizing a prospective database of 426 patients with rectal cancer that underwent elective lower anterior resection, within the time frame of January 2015 and December 2019, was conducted. The anastomotic leak test was chosen by the surgeon. The incidence of PL was compared between patients that underwent IOC and those that had the syringe leak test, utilizing the logistic regression analysis. Propensity score matching was included. There were no significant differences in the clinical characteristics or morbidity and mortality rates between the 2 groups. Four patients were excluded, leaving a patient total of 422. Seventy patients with IOC were compared with 352 that had the syringe leak test. The incidence of PL was 5.7% in the IOC group and 12.2% in the control group (P = .001). After propensity score matching (n = 221), balancing the characteristics between the groups, the incidence of PL was 5.7% in the IOC group and 13.9% in the syringe leak test group (P = .001). IOC was shown to be a safe method for evaluating the integrity of colorectal anastomosis and was associated with a higher percentage of protective stoma use, appearing to reduce the risk for PL." @default.
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- W3205221605 date "2022-07-01" @default.
- W3205221605 modified "2023-10-16" @default.
- W3205221605 title "Impacto de la colonoscopia intraoperatoria en la detección y prevención de la fuga de la anastomosis colorrectal por cáncer de recto" @default.
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- W3205221605 doi "https://doi.org/10.1016/j.rgmx.2021.02.010" @default.
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