Anastomotic leak in colorectal surgery: are 75 % preventable?
Introduction 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. Materials and methods 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. Results 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). Conclusions These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
International journal of colorectal disease - 30(2015), 11 vom: 29. Aug., Seite 1525-1531 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Shekarriz, Hodjat [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| BKL: | |
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| Themen: |
Anastomosis technique |
| doi: |
10.1007/s00384-015-2338-z |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Introduction 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. Materials and methods 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. Results 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). Conclusions These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique. | ||
| 650 | 4 | |a Anastomotic leak |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Colorectal surgery |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Shekarriz, Jasmin |e verfasserin |4 aut | |
| 700 | 1 | |a Zoubie, Danny |e verfasserin |4 aut | |
| 700 | 1 | |a Wedel, Thilo |e verfasserin |4 aut | |
| 700 | 1 | |a Wittenburg, Henning |e verfasserin |4 aut | |
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