Risk factors for anastomotic leakage after colorectal resection: a retrospective analysis of 17 518 patients

Aim A large, prospectively collected, clinical database was analysed to determine the various pre‐ and intra‐operative factors affecting anastomotic leakage (AL) in colorectal surgery. Method Data on 17 518 patients having a colorectal resection with anastomosis, taken from the 2013 American College...

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Bibliographic Details
Published in:Colorectal disease 2017-03, Vol.19 (3), p.288-298
Main Authors: Parthasarathy, M., Greensmith, M., Bowers, D., Groot‐Wassink, T.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Anastomosis, Surgical
Anastomotic Leak - epidemiology
Anastomotic leakage
Antibiotic Prophylaxis - utilization
Antineoplastic Agents - therapeutic use
Body Mass Index
clinical database
Colectomy
Colon - surgery
Colonic Diseases - surgery
colorectal resection
Databases, Factual
Diabetes Mellitus - epidemiology
Elective Surgical Procedures
Emergencies
Female
Gastrointestinal Hemorrhage - surgery
Humans
Laparoscopy
Laparotomy
Male
Middle Aged
Neoadjuvant Therapy
Rectal Neoplasms - surgery
Retrospective Studies
Risk Factors
Serum Albumin
Sex Factors
Smoking - epidemiology
Young Adult
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Summary:Aim A large, prospectively collected, clinical database was analysed to determine the various pre‐ and intra‐operative factors affecting anastomotic leakage (AL) in colorectal surgery. Method Data on 17 518 patients having a colorectal resection with anastomosis, taken from the 2013 American College of Surgeons National Surgical Quality Improvement Program database, were included in the study. Multivariable logistic regression analysis was carried out to identify risk‐adjusted predictive factors for AL. Statistical significance was set at P 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.13476