Utility of colon leakage score in left-sided colorectal surgery

被引:14
作者
Yu, Xue-Qiao [1 ]
Zhao, Bo [2 ]
Zhou, Wei-Ping [3 ]
Han, Li-Zhen [4 ]
Cai, Guo-Hao [3 ]
Fang, Zhuang-Wei [3 ]
Peng, Yong-Hong [3 ]
Yuan, Bo [3 ]
机构
[1] Wuhan Univ, Clin Ctr Intestinal & Colorectal Dis Hubei Prov, Key Lab Intestinal & Colorectal Dis Hubei Prov, Dept Colorectal Surg,Zhongnan Hosp, 169 Donghu Rd, Wuhan 430071, Peoples R China
[2] Beijing Chaoyang Hosp, Dept Gen Surg, Beijing, Peoples R China
[3] Hainan Gen Hosp, Dept Gastrointestinal Surg, Haikou, Peoples R China
[4] Hainan Gen Hosp, Dept Med Records & Stat, Haikou, Peoples R China
关键词
Colon cancer; Left-sided colorectal surgery; Anastomotic leakage; Risk; Colon leakage score; ANASTOMOTIC LEAKAGE; RISK-FACTORS; ANTERIOR RESECTION; RECTAL-CANCER; METAANALYSIS;
D O I
10.1016/j.jss.2015.12.046
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The aim of the study was to evaluate the clinical utility of the colon leakage score (CLS) in predicting the risk of anastomotic leakage (AL) after left-sided colorectal surgery. Materials and methods: This investigation was designed as a retrospective study of 304 patients who underwent left-sided colorectal surgery. The patients were classified into two groups as those who developed AL and those who did not develop AL, and the CLSs of the two groups were compared. The predictive value and the cutoff value of the CLS were assessed by receiver operating characteristic and logistic regression analysis. Results: A significant difference was noted in the mean CLSs of the groups with and without AL (P < 0.001). The values of the area under the receiver operating characteristic curve (0.965; confidence interval, 0.913-1.00) and the odds ratio (2.9; confidence interval, 1.59-4.83; P < 0.001) indicated that CLS was a good predictor of AL. A CLS of 11 was found to be the best cutoff value, with a sensitivity and specificity of 84.6% and 87.2%, respectively. Conclusions: Our findings indicate that CLS can effectively predict the risk of AL after left-sided colorectal surgery and that a CLS of 11 can be used as a cutoff value for the risk level. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:398 / 402
页数:5
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