External validation of anastomotic leakage risk analysis system in patients who underwent colorectal resection

Turk J Med Sci. 2019 Feb 11;49(1):279-282. doi: 10.3906/sag-1807-205.

Abstract

Background/aim: One of the most feared complications after colon resection for carcinoma is anastomotic leakage. Prediction of anastomotic leakage can alter pre- and perioperative management of patients. This study validates an anastomotic leakage prediction system.

Materials and methods: Ninety-five patients who underwent colonic resection between 1 January 2016 and 30 January 2017 were included in the study. Patient records and electronic charting system data were used to calculate anastomotic leakage risk on the http://www.anastomoticleak.com/ website.

Results: Fifty-six (58.9%) patients were male and thirty-nine (41.1%) were female. The mean age was 61.7 (min: 33, max: 90). Six (6.3%) patients had anastomotic leakage. According to the ROC analysis, the area under curve for the prediction system was 0.767.

Conclusion: The prediction system for anastomotic leakage produced significant results for our patient population. It can be effectively utilized in preoperative and perioperative measures to prevent anastomotic leakage.

Keywords: Anastomotic leakages; validation studies; colorectal carcinoma.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anastomotic Leak / epidemiology*
  • Anastomotic Leak / prevention & control
  • Colorectal Neoplasms / surgery*
  • Colorectal Surgery / adverse effects*
  • Female
  • Humans
  • Male
  • Middle Aged
  • ROC Curve
  • Risk Assessment