Evidence map›Paper›PMID 40140991›Full record

ArticleBMC surgery2025

Usefulness of intraoperative colonoscopy and synchronous scoring system for determining the integrity of the anastomosis in left-sided colectomy: a single-center retrospective cohort study.

Sung Hwan Cho, Hyun Sung Kim, Byung-Soo Park, Gyung Mo Son, Su Bum Park, Mi Sook Yun

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Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sung Hwan ChoDepartment of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, 20 Geumo-Ro, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Hyun Sung KimDepartment of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, 20 Geumo-Ro, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea. gustohs@gmail.com.
Byung-Soo ParkDepartment of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, 20 Geumo-Ro, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Gyung Mo SonDepartment of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, 20 Geumo-Ro, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Su Bum ParkDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, 20 Geumo-Ro, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Mi Sook YunDivision of Biostatistics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to evaluate the utilization of intraoperative colonoscopy (IOC) for determining the integrity of the anastomosis and to establish an IOC scoring system.

methodsA retrospective cohort study was conducted from January 2021 to June 2024, we analyzed the clinical data of 160 patients registered in a database who underwent laparoscopic left-sided colectomy at Pusan National University Yangsan Hospital. IOC was performed on all patients, and Mucosal color (MC), stapled line bleeding (BL), proximal redundancy (PR), and bowel preparation (BP) were evaluated and scored as variables. Logistic regression analysis was used to evaluate risk factors for anastomotic leakage (AL) and Cohen's kappa was applied to assess the reproducibility of the evaluation.

resultsOf 160 patients, 10 (6.25%) experienced AL. All the IOC variables had kappa values of 0.8 or higher, indicating good agreement. The logistic regression analysis revealed significant differences in the MC 2 (P = 0.017, OR 12.86), PR 2 (P = 0.001, OR 27.64), BP 2 (p = 0.016, OR 10.50) PR 2 score (P = 0.016, OR 10.50) and the sum of the scores (p = 0.001, OR 3.51).

conclusionIOC can be performed as a reference procedure to assess the integrity of the anastomosis during left-sided colorectal surgery.

Indexed as

Anastomosis, SurgicalAnastomotic LeakColectomyColonoscopyIntraoperative CareAdultAgedAged, 80 and overFemaleHumansLaparoscopyMaleMiddle AgedRetrospective StudiesRisk FactorsAnastomotic leakageColorectal resectionIntraoperative colonoscopyLt. sided colectomy

Identifiers

PMID40140991
PMCPMC11948651

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.