Anastomotic leaks after anterior resection for mid and low rectal cancer: Survey of the Italian Society of Colorectal Surgery

C. R. Asteria, G. Gagliardi, S. Pucciarelli, G. Romano, A. Infantino, F. La Torre, F. Tonelli, F. Martin, C. Pulica, V. Ripetti, G. Diana, G. Amicucci, M. Carlini, A. Sommariva, G. Vinciguerra, D. B. Poddie, A. Amato, R. Bassi, R. Galleano, E. VeroneseS. Mancini, G. Pescio, G. L. Occelli, S. Bracchitta, M. Castagnola, T. Pontillo, G. Cimmino, U. Prati, R. Vincenti

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The aim of the survey was to assess the incidence of anastomotic leaks (AL) and to identify risk factors predicting incidence and gravity of AL after low anterior resection (LAR) for rectal cancer performed by colorectal surgeons of the Italian Society of Colorectal Surgery (SICCR). Methods: Information about patients with rectal cancers less than 12 cm from the anal verge who underwent LAR during 2005 was collected retrospectively. AL was classified as grade I to IV according to gravity. Fifteen clinical variables were examined by univariate and multivariate analyses. Further analysis was conducted on patients with AL to identify factors correlated with gravity. Results: There were 520 patients representing 64% of LAR for rectal cancer performed by SICCR members. The overall rate of AL was 15.2%. Mortality was 2.7% including 0.6% from AL. The incidence of AL was correlated with higher age (p

Original languageEnglish
Pages (from-to)103-110
Number of pages8
JournalTechniques in Coloproctology
Volume12
Issue number2
DOIs
Publication statusPublished - Jun 2008

Keywords

  • Anastomotic leaks
  • Low anterior resection
  • Outcome studies
  • Rectal cancer

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

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