Application of colon leakage score in the left-sided colorectal surgery

被引：0

作者：

Martinez-Mier, Gustavo ^{[1
,2
]}

Carrasco-Arroniz, Miguel A. ^{[3
]}

Santos-Lopez, Ana G. De Los ^{[3
]}

Reyes-Ruiz, Jose M. ^{[4
,5
]}

机构：

[1] Univ Veracruzana, Hosp Especialidades 14,Inst Mexicano del Seguro So, Ctr Med Nacl Adolfo Ruiz Cortines,Organ Transplant, Unidad Med Alta Especialidad,Dept Res, Xalapa, Veracruz, Mexico

[2] Univ Veracruzana, SESVER Hosp Reg Alta Especialidad Virgilio Uribe 2, Organ Transplantat & Gen Surg, Xalapa, Veracruz, Mexico

[3] Univ Veracruzana, UMAE Hosp Especialidades 14, Ctr Med Nacl Adolfo Ruiz Cortines, Gen Surg,Inst Mexicano Seguro Social IMSS, Xalapa, Veracruz, Mexico

[4] Univ Veracruzana, Hosp Especialidades 14, Ctr Med Nacl Adolfo Ruiz Cortines, Inst Mexicano Seguro Social IMSS, Xalapa, Veracruz, Mexico

[5] Univ Veracruzana, Fac Med Reg Veracruz, Xalapa, Veracruz, Mexico

来源：

CIRUGIA Y CIRUJANOS | 2024年 / 92卷 / 03期

关键词：

Colorectal surgery; Anastomosis leak; Colon leakage score; Outcomes; Risk prediction; LOW ANTERIOR RESECTION; ANASTOMOTIC LEAKAGE; RECTAL-CANCER; RISK-FACTORS; METAANALYSIS; PREDICTION; STOMA;

D O I：

10.24875/CIRU.22000507

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: The study aims to apply the CLS in patients undergoing left-sided colorectal surgery. Method: Retrospective study in patients with the left-sided colorectal surgery and primary anastomosis without diverting stoma. CLS was calculated in patients, who were classified in AL and NO -AL groups. Predictive value of CLS was evaluated by receiver operator characteristic. Correlation between CLS and AL was determined. 208 patients (55% male, mean age 59 years) were included in the study. Results: Overall, AL was 7.2%. Mean CLS of all patients was 7.2 +/- 3.2 (0-17). Patients with AL had a higher CLS (11.8 +/- 2.3) than NO -AL patients (6.8 +/- 3) (p = 0.0001). The area under the curve for the prediction of AL by CLS was 0.898 ([CI] 0.829-0.968, p = 0.0001). A CLS of 8.5 had 93% sensitivity and 72% specificity. There was a statistically significant odds ratio for CLS and AL (0.58: [CI] 0.46-0.73, p = 0.0001). Conclusions: CLS is a useful tool to predict AL in the left-sided colorectal surgery.

引用

页码：388 / 394

页数：7

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