The small height of an anastomotic colonic doughnut is an independent risk factor of anastomotic leakage following colorectal resection: results of a prospective study on 154 consecutive cases

International Journal of Colorectal Disease

Volumn 32, Issue 5, 2017, Pages 699-707

  Cauchy, François ^a   Abdalla, Solafah ^a   Penna, Christophe ^a   Angliviel, Benjamin ^a   Lambert, Benoit ^a   Costaglioli, Bruno ^a   Brouquet, Antoine ^a   Benoist, Stéphane ^a  

^a BICÊTRE HOSPITAL   (France)

Author keywords

Anastomotic doughnuts; Anastomotic leakage; Colorectal surgery; Mechanical colorectal anastomosis

Indexed keywords

ADULT; AGED; ANASTOMOSIS LEAKAGE; ANASTOMOTIC COLONIC DOUGHNUT; ARTICLE; COLORECTAL ANASTOMOSIS; COLORECTAL SURGERY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SENSITIVITY AND SPECIFICITY; SURGICAL ANATOMY; SURGICAL STAPLING; SURGICAL TECHNIQUE; TREATMENT OUTCOME; VERY ELDERLY; ADVERSE EFFECTS; ANASTOMOSIS; ANASTOMOTIC LEAK; COLON; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATHOLOGY; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RECEIVER OPERATING CHARACTERISTIC; SURGERY;

ADULT; AGED; AGED, 80 AND OVER; ANASTOMOSIS, SURGICAL; ANASTOMOTIC LEAK; COLON; COLORECTAL SURGERY; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RISK FACTORS; ROC CURVE; TREATMENT OUTCOME;

EID: 85010818028     PISSN: 01791958     EISSN: 14321262     Source Type: Journal    
DOI: 10.1007/s00384-017-2769-9     Document Type: Article

References (27)

1. Bell SW, Walker KG, Rickard MJFX et al (2003) Anastomotic leakage after curative anterior resection results in a higher prevalence of local recurrence. Br J Surg 90:1261–1266
2. McDermott FD, Heeney A, Kelly ME et al (2015) Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks. Br J Surg 102:462–479
3. Platell C, Barwood N, Dorfmann G, Makin G (2007) The incidence of anastomotic leaks in patients undergoing colorectal surgery. Color Dis 9:71–79
4. Borowski DW, Bradburn DM, Mills SJ et al (2010) Volume-outcome analysis of colorectal cancer-related outcomes. Br J Surg 97:1416–1430
5. Vignali A, Fazio VW, Lavery IC et al (1997) Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients. J Am Coll Surg 185:105–113
6. Schrock TR, Deveney CW, Dunphy JE (1973) Factor contributing to leakage of colonic anastomoses. Ann Surg 177:513–518
7. Ricciardi R, Roberts PL, Marcello PW et al (2009) Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 144:407–411 412
8. Beard JD, Nicholson ML, Sayers RD et al (1990) Intraoperative air testing of colorectal anastomoses: a prospective, randomized trial. Br J Surg 77:1095–1097
9. Lazorthes F, Chiotassol P (1986) Stapled colorectal anastomoses: peroperative integrity of the anastomosis and risk of postoperative leakage. Int J Color Dis 1:96–98
10. Griffith CD, Hardcastle JD (1990) Intraoperative testing of anastomotic integrity after stapled anterior resection for cancer. J R Coll Surg Edinb 35:106–108
11. Matthiessen P, Hallböök O, Rutegård J et al (2007) Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg 246:207–214
12. Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213
13. Bertelsen CA, Andreasen AH, Jørgensen T et al (2010) Anastomotic leakage after anterior resection for rectal cancer: risk factors. Color Dis 12:37–43
14. Panis Y, Maggiori L, Caranhac G et al (2011) Mortality after colorectal cancer surgery: a French survey of more than 84,000 patients. Ann Surg 254:738–743
15. O’Riordain DS, Buckley DJ, Waldron DJ, Kirwan WO (1993) Purse-string suture for stapled oesophagogastric anastomosis: hand-sewn versus automatic. Br J Surg 80:734–736
16. Mahid S, Galandiuk S, Christmas B, Tran D (2006) Triple-staple technique for low rectal anastomoses eliminates the purse-string suture and facilitates stapled colorectal anastomosis. J Am Coll Surg 202:382–383
17. Ikeda T, Kumashiro R, Oki E et al (2015) Evaluation of techniques to prevent colorectal anastomotic leakage. J Surg Res 194:450–457
18. Park JS, Choi G-S, Kim SH et al (2013) Multicenter analysis of risk factors for anastomotic leakage after laparoscopic rectal cancer excision: the Korean laparoscopic colorectal surgery study group. Ann Surg 257:665–671
19. Crombe T, Bot J, Messager M et al (2016) Malignancy is a risk factor for postoperative infectious complications after elective colorectal resection. Int J Color Dis 31:885–894
20. Piessen G, Muscari F, Rivkine E et al (2011) Prevalence of and risk factors for morbidity after elective left colectomy: cancer vs noncomplicated diverticular disease. Arch Surg 146:1149–1155
21. Alves A, Panis Y, Mantion G et al (2007) The AFC score: validation of a 4-item predicting score of postoperative mortality after colorectal resection for cancer or diverticulitis: results of a prospective multicenter study in 1049 patients. Ann Surg 246:91–96
22. Bakker IS, Grossmann I, Henneman D et al (2014) Risk factors for anastomotic leakage and leak-related mortality after colonic cancer surgery in a nationwide audit. Br J Surg 101:424–432
23. Jestin P, Påhlman L, Gunnarsson U (2008) Risk factors for anastomotic leakage after rectal cancer surgery: a case-control study. Color Dis 10:715–721
24. Choi H-K, Law W-L, Ho JWC (2006) Leakage after resection and intraperitoneal anastomosis for colorectal malignancy: analysis of risk factors. Dis Colon rectum 49:1719–1725
25. Pakkastie TE, Ovaska JT, Pekkala ES et al (1997) A randomised study of colostomies in low colorectal anastomoses. Eur J Surg 163:929–933
26. Chude GG, Rayate NV, Patris V et al (2008) Defunctioning loop ileostomy with low anterior resection for distal rectal cancer: should we make an ileostomy as a routine procedure? A prospective randomized study. Hepato-Gastroenterology 55:1562–1567
27. Ulrich AB, Seiler C, Rahbari N et al (2009) Diverting stoma after low anterior resection: more arguments in favor. Dis Colon rectum 52:412–418