Anastomotic leak in colorectal surgery: are 75 % preventable?

International Journal of Colorectal Disease
Hodjat ShekarrizHenning Wittenburg

Abstract

Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources. In this study, we investigated the impact of anastomosis technique on the rate of anastomotic leak. The rate of leak was compared between two groups performing end-to-end (E-E) vs. side-to-end (S-E) anastomosis. The impact of various risk factors was also compared between the two groups. There were 382 E-E and 363 S-E anastomoses after left colectomy or rectal resections. The anastomotic leak rate was 8.64 % using E-E compared to 1.93 % using S-E anastomosis technique (p < 0.001). These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique.

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Citations

Dec 29, 2017·World Journal of Surgery·Henrik IversenChristian Buchli
Nov 7, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jacqueline van den BosLaurents P S Stassen
Apr 25, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C ShwaartzC M Divino

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