Table 1.
Recent successful studies managed minimally invasively after acute or chronic anastomotic leak
| Ref. | Year | Cases | Procedure | Gender (F/M) | Age (yr) | Previous diagnose or treatment | Success n (%) | Failure or complications n (%) | Follow-up |
| Lamazza et al[13] | 2015 | 22 | SEMS | 11/11 | 68 | Anterior resection (all) Neoadjuvant (21) | 19 (86.4) | Failure: 3 (13.6) Stent migration: 1 (4.5) | 18-42 mo |
| Arezzo et al[19] | 2012 | 14 | OTSC | 8/6 | 68.5 | Anterior resection (12) Colostomy closure (1) Right hemicolectomy (1) | 12 (85.7) | 1 patient needed further surgery | 4 mo |
| Sulz et al[20] | 2014 | 6 | OTSC | 1/5 | 66.5 | Colorectal resection | 5 (83.3) | Failure: 1 (Succeeded with 2nd OTSC) | N/A |
| Weidenhagen et al[25] | 2008 | 29 | VAC | 5/24 | 66.7 | Rectal cancer (22) Rectosigmoidal cancer (3) Large rectal adenoma (2) Diverticulitis (1) Endometrial cancer infiltration (1) | 28 (96.6) | 1 (Hartmann’s procedure) | VAC duration: 34.4 ± 19.4 d |
| Blumetti et al[31] | 2011 | 5 | Transanal repair | N/A | 52 | Coloanal anastomosis (4) Colorectal anastomosis (1) | 4 (80) | Failure: 1 (20) | Time to repair: 8-15 mo |
F/M: Female/male; SEMS: Self-expandable metallic stent; OTSC: Over the scope clip; N/A: Data not available; VAC: Vacuum-assisted closure.