Evidence map›Paper›PMID 40594522›Full record

ArticleScientific reports2025

Diagnostic value of CT scan findings for anastomotic leakage after low anterior resection without ileostomy in rectal cancer.

Aidin Yaghoobi Notash, Ehsan Sadeghian, Zahra Moghimi, Yasaman Rahimi, Ehsan Sobhanian

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Aidin Yaghoobi NotashGeneral Surgeon and Faculty Member, Tehran University of Medical Sciences, Tehran, Iran.
Ehsan SadeghianDepartment of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Zahra MoghimiDepartment of Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Yasaman RahimiSchool of medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.
Ehsan SobhanianDepartment of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. drehsobhanian@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anastomotic leakage (AL) is one of the most serious complications following colorectal surgery, particularly in patients who have undergone low anterior resection (LAR) for rectal cancer without a protective ileostomy. The early detection of AL is crucial, as it can significantly impact the patient's recovery and survival rates. This study aims to assess the diagnostic accuracy of abdominal Computed Tomography(CT) scans in identifying AL among rectal cancer patients post-LAR. This retrospective cohort study was conducted at the Tehran Surgical Research Center and included 42 patients with rectal cancer who underwent LAR after neoadjuvant chemoradiotherapy. All patients received an abdominal CT scan on the fifth postoperative day. The presence of AL was confirmed based on clinical symptoms, radiological findings, and the necessity for reoperation. The study focused on evaluating specific CT findings, such as perianastomotic collections, to determine their correlation with AL. The analysis revealed that certain CT scan findings, particularly complex collections larger than 5 cm in proximity to the anastomosis site and signs of generalized peritonitis, were significantly associated with the presence of AL. These findings were particularly important in cases where patients also exhibited clinical symptoms like fever and leukocytosis. The presence of these CT indicators often necessitated reoperation to address the leakage. The results of this study suggest that while abdominal CT scans are a valuable tool in the early detection of AL, the interpretation of these scans must be done in conjunction with clinical symptoms. The study highlights the importance of considering the size of perianastomotic collections and the presence of systemic symptoms for an accurate and timely diagnosis of AL. Future research should further investigate the potential of CT scans in improving outcomes for patients undergoing LAR for rectal cancer.

Indexed as

Anastomotic LeakRectal NeoplasmsTomography, X-Ray ComputedAdultAgedAnastomosis, SurgicalFemaleHumansIleostomyMaleMiddle AgedNeoadjuvant TherapyRetrospective StudiesAbscessAnastomotic leakageCT scanLaparoscopyNeoadjuvant chemotherapyRectal CancerRectosigmoidoscopyRecurrence.

Identifiers

PMID40594522
PMCPMC12219682

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