Key result
Preoperative and intraoperative factors influence colorectal anastomotic leakage risk, making prevention the most effective strategy.
Why the study?
Postoperative complications after colorectal cancer surgery remain high, with anastomotic suture failure being a severe complication with high mortality, necessitating risk factor identification and prevention strategies.
This review summarizes preoperative and intraoperative risk factors and prevention strategies for colorectal anastomotic leakage in rectal cancer surgery.
Answers are grounded in this paper and cite their sources.
Risk stratification for anastomotic failure may guide rectal resection decisions; leaves open prospective validation before practice change.
Summary. Despite the positive results achieved in recent years in the treatment of colorectal cancer (CRC), the frequency of postoperative complications remains high. Anastomotic suture failure (ASF) is considered one of the most severe complications after rectal resection with high mortality. This review presents preoperative and intraoperative risk factors for colorectal anastomosis rupture. Stratifi ation of patients according to risk factors for the development of ASF allows predicting the occurrence of this complication and determining the optimal treatment tactics in a specifi case. Early diagnosis of ASF is crucial for a favorable outcome of treatment and reduction of mortality rates. Numerous studies are conducted in this field, there are many developments, but the problem remains relevant. Today, the best treatment for ASF remains its prevention.
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Vasyliv et al. (2024) conducted a review in Rectal cancer. Risk factors and prevention methods was evaluated on Anastomotic leakage. Preoperative factors like male sex, obesity, and comorbidities, along with intraoperative variables, significantly influence the risk of colorectal anastomotic leakage, making prevention the most effective management strategy.
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