Calcium score: a new risk factor for colorectal anastomotic leakage

被引：43

作者：

Komen, Niels ^{[1
]}

Klitsie, Pieter ^{[1
]}

Dijk, Jan Willem ^{[1
]}

Slieker, Juliette ^{[1
]}

Hermans, John ^{[2
]}

Havenga, Klaas

Oudkerk, Matthijs

Weyler, Joost ^{[3
]}

Kleinrensink, Gert-Jan ^{[4
]}

Lange, Johan F. ^{[1
]}

机构：

[1] Erasmus MC, Univ Med Ctr Rotterdam, Dept Surg, Rotterdam, Netherlands

[2] Erasmus MC, Univ Med Ctr Rotterdam, Dept Radiol, Rotterdam, Netherlands

[3] Univ Antwerp, Dept Epidemiol & Social Med, B-2020 Antwerp, Belgium

[4] Erasmus MC, Univ Med Ctr Rotterdam, Dept Anat & Neurosci, Rotterdam, Netherlands

来源：

AMERICAN JOURNAL OF SURGERY | 2011年 / 201卷 / 06期

关键词：

Anastomotic leakage; Atherosclerosis; Calcium score; Colorectal surgery; CT-scan; ESMO CLINICAL RECOMMENDATIONS; LOW ANTERIOR RESECTION; COMPUTED-TOMOGRAPHY; DEFUNCTIONING STOMA; RECTAL-CANCER; DIAGNOSIS; SURGERY; DISEASE; LIFE;

D O I：

10.1016/j.amjsurg.2010.01.033

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Anastomotic leakage (AL) is the most feared complication of colorectal surgery. Atherosclerosis is suggested to have a detrimental effect on anastomotic healing. This study aimed to analyze the calcium score, a measure for atherosclerosis, as a risk factor for AL. STUDY DESIGN: The calcium scores of colorectal patients operated on in 2 Dutch university medical centers were determined using a computed tomography scan and calcium scoring software. The aorta, common iliac arteries, internal and external iliac arteries were studied. Additionally, patient- and operation-related factors were scored. RESULTS: A total of 122 patients were included. In patients with AL, calcium scores were significantly higher in the left common iliac artery (561.4 vs 156.0, P = .028), right common iliac artery (542.0 vs 144.4, P = .041), both common iliac arteries together (1,103.3 vs 301.9, P = .046), and the left internal iliac artery (716.3 vs 35.3, P = .044). CONCLUSIONS: Patients with higher calcium scores in the iliacal arteries have an increased leakage risk. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：759 / 765

页数：7

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