ArticleInternational journal of colorectal disease2016
Risk factors for clinical anastomotic leakage after right hemicolectomy.
Article in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- The influence of diabetes on postoperative complications following colorectal surgery.Techniques in coloproctology · 2021Pooled it
- Quantitative assessment of gastric tube perfusion during Ivor Lewis esophagectomy using indocyanine-green: results from the prospective interventional trial SPY Q-ICG PAS study.Surgical endoscopy · 2026Trial
- Isoperistaltic versus antiperistaltic ileocolic anastomosis. Does it really matter? Results from a randomised clinical trial (ISOVANTI).Surgical endoscopy · 2019Trial
- Multicentre phase II trial of near-infrared imaging in elective colorectal surgery.The British journal of surgery · 2018Trial
- Global benchmarks for minimally invasive right hemicolectomy for cancer.The British journal of surgery · 2025Article
- Comparative retrospective study on surgical outcomes of hand-sewn anastomosis versus stapling anastomosis for colectomy using a nationwide inpatient database in Japan with propensity score matching.Annals of gastroenterological surgery · 2025Article
- Cost and outcomes of side-to-side versus end-to-end anastomosis in right colectomy: a retrospective cohort study.Surgical endoscopy · 2025Article
- The Value of C-Reactive Protein and Peritoneal Cytokines as Early Predictors of Anastomotic Leak after Colorectal Surgery.Diagnostics (Basel, Switzerland) · 2024Article
- Risk factors for anastomotic complications after elective intestinal resection in Crohn's disease.Turkish journal of surgery · 2024Article
- Double-layer adhesives for preventing anastomotic leakage and reducing post-surgical adhesion.Materials today. Bio · 2023Article
- Robotic right colectomy with robotic-sewn anastomosis: a pilot case series.Journal of robotic surgery · 2023Article
- Anastomotic Leak Impact on Long-Term Survival after Right Colectomy for Cancer: A Propensity-Score-Matched Analysis.Journal of clinical medicine · 2022Article
- Quantitative fluorescence angiography aids novice and experienced surgeons in performing intestinal resection in well-perfused tissue.Surgical endoscopy · 2022Article
- Ileocolic anastomosis after right hemicolectomy: stapled end-to-side, stapled side-to-side, or handsewn?International journal of colorectal disease · 2022Article
- Anastomosis technique and leakage rates in minimally invasive surgery for right-sided colon cancer. A retrospective national cohort study.International journal of colorectal disease · 2022Article
- C-reactive protein level on postoperative day 3 as a predictor of anastomotic leakage after elective right-sided colectomy.Surgery today · 2022Article
- Article
- Early postoperative pain as a marker of anastomotic leakage in colorectal cancer surgery.International journal of colorectal disease · 2021Observational
- Incidence and risk factors for fluorescence abnormalities on near-infrared imaging using indocyanine green in stapled functional end-to-end anastomosis in laparoscopic colectomy.International journal of colorectal disease · 2020Article
- Risk factors for leak, complications and mortality after ileocolic anastomosis: comparison of two anastomotic techniques.Annals of the Royal College of Surgeons of England · 2019Observational
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnastomotic leakage (AL) after right hemicolectomy is a devastating complication, and risk factors for AL in this setting are rarely investigated exclusively. Recent reports suggest that anastomotic type may influence the rate of AL in ileocolic anastomoses. We investigated risk factors and short-term outcomes in patients subjected to right hemicolectomy.
methodsData from all patients undergoing right hemicolectomy at our institution between 2009 and 2013 were collected in a database. Risk factors for clinical AL, 30-day mortality, hospital and intensive care unit stay were investigated. Stepwise logistic regression was used to adjust for confounding.
results22/445 (4.9 %) patients had AL. Median time to AL was 6 days (range 2-11 days). A stapled anastomosis was associated with an increased AL rate compared with the handsewn approach (adjusted odds ratio (aOR) 2.84; 95 % CI 1.14-7.07; P = 0.025). Other risk factors for AL were tobacco use (aOR 2.70; 95 % CI 1.06-6.86; P = 0.037) and diabetes (aOR 5.95; 95 % CI 2.23-15.90; P < 0.001). Anastomotic ischemia was present in 6/13 stapled and 1/9 handsewn leaking anastomoses, P = 0.081, while generalized peritonitis was observed after 4/13 stapled and 7/9 handsewn leaking anastomoses, P = 0.030. Thirty-day mortality was 2/22 (9.1 %) in patients with AL and 23/423 (5.4 %) in patients without AL, P = 0.468, and 13/160 (8.1 %) and 12/285 (4.2 %), P = 0.085, in stapled and handsewn anastomoses, respectively.
conclusionsRisk factors for AL after right hemicolectomy were diabetes, tobacco use and stapled compared with handsewn anastomoses.
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