Anastomotic leaks: technique and timing of detection

Abstract Background Despite the proven benefits of laparoscopic colorectal surgery, the rate of anastomotic leaks has not changed. This study looks at the time of presentation of anastomotic leaks between laparoscopic and open colectomies. Methods Retrospective chart review was performed between Jul...

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Bibliographic Details
Published in:The American journal of surgery 2014-03, Vol.207 (3), p.371-374
Main Authors: Feo, Leandro J., M.D, Jrebi, Nezar, M.D, Asgeirsson, Theodore, M.D, Dujovny, Nadav, M.D, Figg, Ryan, M.D, Hoedema, Rebecca, M.D, Slay, Heather, M.D, Kim, Donald, M.D, Luchtefeld, Martin, M.D
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Aged, 80 and over
Anastomotic leak
Anastomotic Leak - diagnosis
Anastomotic Leak - etiology
Colectomy - adverse effects
Colorectal surgery
Crohns disease
Female
Heart attacks
Humans
Laparoscopic and open colectomies
Laparoscopy - adverse effects
Male
Medical treatment
Middle Aged
Mortality
Patients
Reoperation
Retrospective Studies
Surgery
Time Factors
Timing of detection
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Summary:Abstract Background Despite the proven benefits of laparoscopic colorectal surgery, the rate of anastomotic leaks has not changed. This study looks at the time of presentation of anastomotic leaks between laparoscopic and open colectomies. Methods Retrospective chart review was performed between July 2008 and 2012. Two groups were created, laparoscopic and open. The time of presentation of significant leaks requiring reoperation were compared between the groups by index colectomies. Statistical analysis is presented as paired t  test and chi-square test ( P < .05). Results From 1,424 segmental colectomies, the anastomotic leak rate between the two groups was not statically significant ( P = .69). No difference in the time of leak detection was evident ( P  = .67). Mortality rate was equal between the groups. The overall complication rate of the entire cohort was statically significant ( P ≤ .001). Conclusion The timing of anastomotic leak detection does not differ between laparoscopy and open colorectal resections.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2013.09.009