6 research outputs found
The impact of stapling technique and surgeon specialism on anastomotic failure after right?sided colorectal resection: an international multicentre, prospective audit
- Author
- Abraham-Nordling M
- Abrisqueta J
- Achkasov S
- Agalianos C
- Agarwal T
- Agha A
- Aguilar Teixido F
- AguilĂł Lucia J
- Ahlberg M
- Ahmed J
- Ais G
- Aiupov R
- Akhtar M
- Akmalov Y
- Akrida I
- Al-Naimi N
- Al-Qaddo A
- Alam N
- Alcantara Moral M
- Alcazar Montero J
- Aldrey Cao I
- Aleksic A
- Ali G
- Alias D
- Aliev I
- Allan S
- Almeida A
- Alonso Gonçalves S
- Alonso J
- Alonso N
- Alos Company R
- Alvarez-Gallego M
- Amado S
- Ambrona Zafra D
- Amilka Ayala Candia B
- Amin A
- Amore Bonapasta S
- Amstrup Funder J
- Ancans G
- Andreani S
- Andrews E
- Angelov K
- Angoso Clavijo M
- Angrima I
- Annecchiarico M
- Annunziata Azienda Sm
- Antonio Gracia Solanas J
- Antos F
- Arabadjieva E
- Arces F
- Arenal J
- Arencibia B
- Argentou M
- Arias Pacheco R
- Arnold S
- Arredondo Chaves J
- Arron M
- Arthur J
- Artioukh D
- Arya S
- Aryal K
- Aslam M
- Asteria Cr
- Atladottir J
- Avital S
- Awad F
- Ayaani S
- Aytac B
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- Bains S
- Baixauli Fons J
- Bajwa A
- Balaguer Ojo C
- Balestri R
- Balfour A
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- Barben C
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- Bardini R
- Bargallo Berzosa J
- Barisic G
- Barker J
- Battersby N
- Battersby N
- Batzalexis K
- Belgers E
- Bell A
- Belli A
- Bellomo R
- Bemelman W
- Bemelman W
- Bencini L
- Bencurik V
- Benevento A
- Bergman K
- Berkovitz R
- Bernal J
- Bernstein I
- BesznyĂĄk I
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- Wolthuis A
- Wrafter P
- Yamamoto T
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- Yauw S
- Yeung J
- Yilmazlar T
- Yonkov A
- Yousefi P
- Yuksel O
- Zafirov G
- Zambrano Muñoz R
- Zammit M
- Zapolskiy A
- Zawadzki M
- Zerpa Martin C
- Zimmerman D
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- Ălvarez Conde J
- Ălvarez Laso C
- Ărhalmi J
- Ăresland T
- Ć vagĆŸdys S
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2018
- Field of study
Aim
There is little evidence to support choice of technique and configuration for stapled anastomoses after right hemicolectomy and ileocaecal resection. This study aimed to determine the relationship between stapling technique and anastomotic failure.
Method
Any unit performing gastrointestinal surgery was invited to contribute data on consecutive adult patients undergoing right hemicolectomy or ileocolic resection to this prospective, observational, international, multicentre study. Patients undergoing stapled, side?to?side ileocolic anastomoses were identified and multilevel, multivariable logistic regression analyses were performed to explore factors associated with anastomotic leak.
Results
One thousand three hundred and forty?seven patients were included from 200 centres in 32 countries. The overall anastomotic leak rate was 8.3%. Upon multivariate analysis there was no difference in leak rate with use of a cutting stapler for apical closure compared with a noncutting stapler (8.4% vs 8.0%, OR 0.91, 95% CI 0.54â1.53, P = 0.72). Oversewing of the apical staple line, whether in the cutting group (7.9% vs 9.7%, OR 0.87, 95% CI 0.52â1.46, P = 0.60) or noncutting group (8.9% vs 5.7%, OR 1.40, 95% CI 0.46â4.23, P = 0.55) also conferred no benefit in terms of reducing leak rates. Surgeons reporting to be general surgeons had a significantly higher leak rate than those reporting to be colorectal surgeons (12.1% vs 7.3%, OR 1.65, 95% CI 1.04â2.64, P = 0.04).
Conclusion
This study did not identify any difference in anastomotic leak rates according to the type of stapling device used to close the apical aspect. In addition, oversewing of the anastomotic staple lines appears to confer no benefit in terms of reducing leak rates. Although general surgeons operated on patients with more high?risk characteristics than colorectal surgeons, a higher leak rate for general surgeons which remained after risk adjustment needs further exploration
The relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: an international snapshot audit.
- Author
- Abraham Nordling M
- Abrisqueta J
- Achkasov S
- Agalianos C
- Agarwal T
- Agha A
- Aguilar Teixido F
- AguilĂł Lucia J
- Ahlberg M
- Ahmed J
- Ais G
- Aiupov R
- Akhtar M
- Akmalov Y
- Akrida I
- Al Naimi N
- Al Qaddo A
- Alam N
- Alcantara Moral M
- Alcazar Montero J
- Aldrey Cao I
- Aleksic A
- Ali G
- Alias D
- Aliev I
- Allan S
- Almeida A
- Alonso Gonçalves S
- Alonso J
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- Altomare D
- Altomare Df
- Alvarez Gallego M
- Amado S
- Ambrona Zafra D
- Amilka Ayala Candia B
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- Vincenti L
- Vindevoghel K
- Viso L
- Vizhynis Y
- Viñas J
- Vogel T
- Vourvachis M
- Wai Ho C
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- Yilmazlar T
- Yonkov A
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- Zawadzki M
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- Ăresland T
- Ć vagĆŸdys S
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2017
- Field of study
BACKGROUND:
Anastomosis technique following right sided colonic resection is widely variable and may affect patient outcomes. This study aimed to assess the association between leak and anastomosis technique (stapled versus handsewn) METHODS: This was a prospective, multicentre, international audit including patients undergoing elective or emergency right hemicolectomy or ileo-caecal resection operations over a two-month period in early 2015. The primary outcome measure was the presence of anastomotic leak within 30 days of surgery, using a pre-specified definition. Mixed effects logistic regression models were used to assess the association between leak and anastomosis method, adjusting for patient, disease and operative cofactors, with centre included as a random effect variable.
RESULTS:
This study included 3208 patients, of whom 78.4% (n=2515) underwent surgery for malignancy and 11.7% (n=375) for Crohn's disease. An anastomosis was performed in 94.8% (n=3041) of patients, which was handsewn in 38.9% (n=1183) and stapled in 61.1% (n=1858) cases. Patients undergoing handsewn anastomosis were more likely to be emergency admissions (20.5% handsewn versus 12.9% stapled) and to undergo open surgery (54.7% versus 36.6%). The overall anastomotic leak rate was 8.1% (245/3041), which was similar following handsewn (7.4%) and stapled (8.5%) techniques (p=0.3). After adjustment for cofactors, the odds of a leak were higher for stapled anastomosis (adjusted odds ratio 1.43, 95% confidence interval 1.04-1.95, p=0.03).
DISCUSSION:
Despite being used in lower risk patients, stapled anastomosis was associated with an increased anastomotic leak rate in this observational study. Further research is needed to define patient groups in whom a stapled anastomosis is safe. This article is protected by copyright. All rights reserve
Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: an international snapshot audit
- Author
- Abraham Nordling M
- Abrisqueta J
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- Torrance A
- Torres Tordera E
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- Touqan N
- TripkoviÄ I
- Tsherniak A
- Tsiamis A
- Tsochatzis S
- Tulchinsky H
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- Yilmazlar T
- Yonkov A
- Yousefi P
- Yuksel O
- Zafirov G
- Zambrano Muñoz R
- Zammit M
- Zapolskiy A
- Zawadzki M
- Zerpa Martin C
- Zimmerman D
- Zmora O
- Zmora O
- Ălvarez Conde J
- Ălvarez Laso C
- Ărhalmi J
- Ăresland T
- Ć vagĆŸdys S
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2017
- Field of study
Aim: The anastomosis technique used following right-sided colonic resection is widely variable and may affect patient outcome. This study aimed to assess the association between leak and anastomosis technique (stapled vs handsewn). Method: This was a prospective, multicentre, international audit including patients undergoing elective or emergency right hemicolectomy or ileo-caecal resection operations over a 2-month period in early 2015. The primary outcome measure was the presence of anastomotic leak within 30\ua0days of surgery, determined using a prespecified definition. Mixed effects logistic regression models were used to assess the association between leak and anastomosis method, adjusting for patient, disease and operative cofactors, with centre included as a random-effect variable. Results: This study included 3208 patients, of whom 78.4% (n\ua0=\ua02515) underwent surgery for malignancy and 11.7% (n\ua0=\ua0375) underwent surgery for Crohn's disease. An anastomosis was performed in 94.8% (n\ua0=\ua03041) of patients, which was handsewn in 38.9% (n\ua0=\ua01183) and stapled in 61.1% (n\ua0=\ua01858). Patients undergoing handsewn anastomosis were more likely to be emergency admissions (20.5% handsewn vs 12.9% stapled) and to undergo open surgery (54.7% handsewn vs 36.6% stapled). The overall anastomotic leak rate was 8.1% (245/3041), which was similar following handsewn (7.4%) and stapled (8.5%) techniques (P\ua0=\ua00.3). After adjustment for cofactors, the odds of a leak were higher for stapled anastomosis (adjusted OR\ua0=\ua01.43; 95% CI: 1.04\u20131.95; P\ua0=\ua00.03). Conclusion: Despite being used in lower-risk patients, stapled anastomosis was associated with an increased anastomotic leak rate in this observational study. Further research is needed to define patient groups in whom a stapled anastomosis is safe
Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO
- Author
- 6rhalmi J.
- 8resland T.
- \u160vag\u17edys S.
- \uc1lvarez Conde J.
- \uc1lvarez Laso C.
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- Abrisqueta J.
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- Publication venue
- 'Wiley'
- Publication date
- 15/09/2017
- Field of study
Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien\u2013Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10\u20134.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13\u20133.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20\u20134.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08\u20131.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07\u20131.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients
Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: an international snapshot audit
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2017
- Field of study
Aim The anastomosis technique used following right-sided colonic
resection is widely variable and may affect patient outcome. This study
aimed to assess the association between leak and anastomosis technique
(stapled vs handsewn).
Method This was a prospective, multicentre, international audit
including patients undergoing elective or emergency right hemicolectomy
or ileo-caecal resection operations over a 2-month period in early 2015.
The primary outcome measure was the presence of anastomotic leak within
30 days of surgery, determined using a prespecified definition. Mixed
effects logistic regression models were used to assess the association
between leak and anastomosis method, adjusting for patient, disease and
operative cofactors, with centre included as a random-effect variable.
Results This study included 3208 patients, of whom 78.4\% (n = 2515)
underwent surgery for malignancy and 11.7\% (n = 375) underwent surgery
for Crohn's disease. An anastomosis was performed in 94.8\% (n = 3041)
of patients, which was handsewn in 38.9\% (n = 1183) and stapled in
61.1\% (n = 1858). Patients undergoing hand-sewn anastomosis were more
likely to be emergency admissions (20.5\% handsewn vs 12.9\% stapled)
and to undergo open surgery (54.7\% handsewn vs 36.6\% stapled). The
overall anastomotic leak rate was 8.1\% (245/3041), which was similar
following handsewn (7.4\%) and stapled (8.5\%) techniques (P = 0.3).
After adjustment for cofactors, the odds of a leak were higher for
stapled anastomosis (adjusted OR = 1.43; 95\% CI: 1.04-1.95; P = 0.03).
Conclusion Despite being used in lower-risk patients, stapled
anastomosis was associated with an increased anastomotic leak rate in
this observational study. Further research is needed to define patient
groups in whom a stapled anastomosis is safe