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February 28, 2024Surgical EndoscopyOpen Access

Score prediction of anastomotic leak in colorectal surgery: a systematic review

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Why the study?

Existing scores for predicting anastomotic leak in colorectal surgery are heterogeneous, often derived from small cohorts that may miss potential predictors, and seldom report the AUC.

Design

Systematic review

Authors

ALAlexis LitchinkoNBNicolas C. BuchsABAlexandre Balaphas

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Overview

Existing anastomotic leak scores are unreliable for preoperative decisions; this review challenges their validity and leaves open the need for robust models.

Structured PICO

P
Population
Patients undergoing colorectal surgery
I
Intervention
Pre-operative scores to predict anastomotic leak (AL)
O
Outcome
Anastomotic leak (AL)

Current pre-operative scores for predicting anastomotic leak in colorectal surgery are limited by small cohort sizes and lack of AUC reporting, necessitating better-designed predictive models.

Limitations

  • Small cohorts of patients
  • Low incidence of AL might lead to missed predictors
  • AUC is seldom reported

Cite This Study

Litchinko et al. (2024) studied this question.

synapsesocial.com/papers/69d984b53e67f8d1386841f4https://doi.org/10.1007/s00464-024-10705-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery2013 · 338 citations
  2. 2The Burden of Gastrointestinal Anastomotic Leaks: an Evaluation of Clinical and Economic Outcomes2014 · 274 citations
  3. 3Nomogram Prediction of Anastomotic Leakage and Determination of an Effective Surgical Strategy for Reducing Anastomotic Leakage after Laparoscopic Rectal Cancer Surgery2017 · 41 citations
  4. 4Impact of early biochemical diagnosis of anastomotic leakage after rectal cancer surgery: long-term results from GRECCAR 5 trial2021 · 40 citations
  5. 5Risk Factors for Anastomotic Leak After Colon Resection for Cancer2014 · 351 citations