Hodjat Shekarriz1, Janina Eigenwald2, Bijan Shekarriz3, Jyoti Upadhyay4, Jasmin Shekarriz2, Danny Zoubie2, Thilo Wedel5, Henning Wittenburg2. 1. Department of Surgery, Helios Klinikum Schleswig, Lutherstr 22, 24837, Schleswig, Germany. hodjat.shekarriz@helios-kliniken.de. 2. Department of Surgery, Helios Klinikum Schleswig, Lutherstr 22, 24837, Schleswig, Germany. 3. Department of Surgery, Helios Klinikum Schleswig, Lutherstr 22, 24837, Schleswig, Germany. shekarrb@verizon.net. 4. Children's Hospital of the King's Daughters, Eastern Virginia Medical School, 601 Children Lane, Norfolk, VA, 23510, USA. 5. Anatomisches Institut, Christian-Albrechts Universität Kiel (CAU), Otto-Hahn-Platz 8, 24118, Kiel, Germany.
Abstract
INTRODUCTION: Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources. MATERIALS AND METHODS: In this study, we investigated the impact of anastomosis technique on the rate of anastomotic leak. The rate of leak was compared between two groups performing end-to-end (E-E) vs. side-to-end (S-E) anastomosis. The impact of various risk factors was also compared between the two groups. RESULTS: There were 382 E-E and 363 S-E anastomoses after left colectomy or rectal resections. The anastomotic leak rate was 8.64 % using E-E compared to 1.93 % using S-E anastomosis technique (p < 0.001). CONCLUSIONS: These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique.
INTRODUCTION:Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources. MATERIALS AND METHODS: In this study, we investigated the impact of anastomosis technique on the rate of anastomotic leak. The rate of leak was compared between two groups performing end-to-end (E-E) vs. side-to-end (S-E) anastomosis. The impact of various risk factors was also compared between the two groups. RESULTS: There were 382 E-E and 363 S-E anastomoses after left colectomy or rectal resections. The anastomotic leak rate was 8.64 % using E-E compared to 1.93 % using S-E anastomosis technique (p < 0.001). CONCLUSIONS: These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique.
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