Evaluation of Factors Associated with Anastomotic Leakage in Colorectal Surgery
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2018, Vol 28, Issue 3
Abstract
Aim: One of the most feared complications after surgical treatment of colorectal diseases is anastomotic leaks. Regarding this issue, we aimed to determine factors that may cause anastomotic leaks by analyzing cases of colorectal disease in which we created anastomoses in our center. Method: The study included patients who underwent surgery including creation of anastomosis due to colorectal disease between January 2012 and December 2016 in the general surgery unit of a public hospital in İzmir. The patients’ data were evaluated retrospectively as two groups: those with anastomotic leakage (group 1) and without anastomotic leakage (group 2). The groups were evaluated in terms of factors such as age, gender, performance of bowel preparation, anastomosis configuration, anastomosis technique, etc. Results: total of 94 patients were included in the study, 10 (10.5%) in group 1 and 84 (89.5%) in group 2. Mean age of the patients was 70.3+12.2 years in group 1 and 62.5±12.6 years in group 2 (p=0.049). Length of hospital stay was significantly longer in group 1 (p<0.0001). The mortality rate was 40% in group 1 and 2% in group 2 (p=0.001). There was no significant difference when the groups were compared based on gender, presence of protective ostomy, anastomosis configuration (end-to-end, end-to-side, side-to-side), anastomosis technique [manual or mechanical (linear cutter, circular stapler)], or anastomosis type (colocolonic, ileocolonic, etc.) (p>0.05). Conclusion: The results of this study suggest that more caution regarding anastomotic leak is warranted in elderly patients. Studying larger patient samples is recommended for more productive research.
Authors and Affiliations
Orhan Üreyen, Enver İlhan, Emrah Dadalı, Uğur Gökçelli, Demet Alay, Semra Bağrıaçık Altıntaş, Mehmet Tahsin Tekeli
Anal Sphincteroplasty and Counter-Clockwise Gracilis Muscle Transposition by Using Transperineal Ischioanal Fossa Access in a Male Patient with Fecal Incontinence Who Undergone to Low Anterior Resection for Rectal Cancer
Fecal incontinence is a clinical condition that negatively affects the patient’s social and psychological life, and presents a surgical challenge due to dissatisfactory postoperative outcomes. Here we discuss the case of...
Perineal Approach in Rectal Prolapse Surgery: Reliability of the Altemeier Procedure
Aim: We compared the efficacy of the Altemeier and Thiersch procedures performed in patients treated for rectal prolapse diagnosis in our clinic. Method: Twenty-three patients who underwent Altemeier and Thiersch operati...
Blood Group Characteristics in Colorectal Cancers
Aim: Colorectal cancer (CRC) is the third most common cancer in the world. Tumors are most commonly located in the rectosigmoid region. There are many factors in the etiology such as age, geographical features, family hi...
Primary Tuberculous Colitis Mimicking Colon Carcinoma In An Immunocompetent Patient
The prevalence of tuberculosis is rising again. It can be seen in any organ system, but isolated primary colon involvement is very rare. Its symptoms are non-specific and may mimic Crohn’s disease, adenocarcinoma or othe...
Intussusception Caused by an Appendiceal Mucocele: Case Report
Intussusception of the appendix in to the caecum caused by an appendiceal mucocele is a rarecondition. Acute appendicitis is the most common presentation is of the disease. Radiologic examination methods especially compu...