Key result
Primary nonfunctional anastomosis is linked to ~91% lower anastomotic leakage risk versus primary anastomosis.
Why the study?
Anastomotic leakage is a fatal complication in colorectal surgery, and the prognostic value of risk factors for AL in patients with colorectal cancer complicated by ileus needed analysis.
Does primary nonfunctional anastomosis reduce anastomotic leakage and postoperative complications in patients with colorectal cancer complicated by bowel obstruction compared to primary anastomosis?
Population
155 emergency patients with proximal rectum and sigmoid colon cancer complicated by chronic bowel obstruction
Comparison
Primary nonfunctional anastomosis vs primary anastomosis after resection
Design
Retrospective analysis of prospectively acquired cohort data
Authors
Loading...
Primary nonfunctional anastomosis may lower AL rates in obstructed colorectal cancer; leaves open prospective validation of risk score before adoption.
Cohort (n=155)
Does primary nonfunctional anastomosis reduce anastomotic leakage and postoperative complications in patients with colorectal cancer complicated by bowel obstruction compared to primary anastomosis?
Absolute Event Rate: 1.1% vs 11.7%
Primary nonfunctional anastomosis with preventive transversostoma provides reliable prevention of colorectal anastomotic leakage in patients with bowel obstruction.
Bedeniuk et al. (2017) conducted a cohort in Colorectal cancer complicated by chronic bowel obstruction (n=155). Primary nonfunctional anastomosis (PNA) vs. Resection of the colon or rectum with primary anastomosis was evaluated on Anastomotic leakage. Primary nonfunctional anastomosis was associated with an anastomotic leakage rate of 1.1% compared to 11.7% with primary anastomosis in patients with colorectal cancer and bowel obstruction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: