[Prevention and treatment strategies of anastomotic leakage in laparoscopic low anterior resection in locally advanced rectal cancer].

Abstract

Anastomotic leakage is a common complication in laparoscopic rectal cancer surgery, which can significantly impact patient recovery. This issue becomes even more critical in the context of the widespread application of standardized and procedural neoadjuvant patterns, as well as the increasing feasibility of anal-preserving surgery for ultra-low rectal cancer. Therefore, strategies to reduce or prevent anastomotic leakage are of paramount importance. Anastomotic tension and blood supply are two key factors that contribute to the success of anastomosis. In laparoscopic rectal cancer surgery, minimizing anastomotic tension and optimizing blood supply are essential to preventing or mitigating the occurrence of anastomotic leakage. This article would discuss the risk factors, preventive measures, and treatment approaches for postoperative anastomotic leakage in rectal cancer surgery.