Anastomotic leak in colorectal surgery: A single surgeon’s experience

Isbister, William H.

doi:10.1046/j.1440-1622.2001.02189.x

Cited by 62 publications

(55 citation statements)

References 27 publications

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“…In fact, of the 13 patients postoperative respiratory symptoms appeared to be an early indicator of an anastomotic leak. This is consistent with the findings of Isbister in his analysis of over 2,000 patients on a colorectal database (29 of whom were found to have an anastomotic leak) [18]. This author showed that patients with a leaking anastomosis were more likely to have postoperative respiratory problems than patients without leak (55.2% vs. 24.0%, respectively).…”

Section: Discussionsupporting

confidence: 86%

Early predictors of anastomotic leaks after colectomy

et al. 2009

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Section: Discussionsupporting

confidence: 86%

Early predictors of anastomotic leaks after colectomy

et al. 2009

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“…Major abdominal surgery, including the upper GI, HPB and colorectal resections, has a high incidence of minor and major complications [4,15]. Diagnosis and treatment of these complications (classified according Clavien-Dindo) are important in order to reduce further morbidity and mortality [16,17].…”

Section: Discussionmentioning

confidence: 99%

Hospital Cost-Analysis of Complications after Major Abdominal Surgery

Straatman¹,

Cuesta²,

Klerk

et al. 2015

Dig Surg

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Background: Complications after major abdominal surgery (MAS) are associated with increased morbidity and mortality. Rising costs in health care are of increasing interest and a major factor affecting hospital costs are postoperative complications. In this study, the costs associated with complications are assessed. Methods: Retrospective cohort study of 399 consecutive patients that underwent MAS. Analysis of total costs for hospital stay, complications and treatment was performed, including bootstrapping; allowing for subtraction of data with 95% confidence intervals. Results: For a single patient who underwent MAS the average costs, adjusted for ASA-classification and surgery type, adds up to EUR 8,584.81 (95% CI EUR 8,332.51 - EUR 8,860.81) in patients without complications. EUR 15,412.96 (95% CI EUR 14,250.22 - EUR 16,708.82) after minor complications, and EUR 29,198.23 (95% CI EUR 27,187.13 - EUR 31,295.78) after major complications (p < 0.001). Conclusion: The results provide an insight into the scope of hospital costs associated with complications. Major complications occur in 20% of patients undergoing MAS and account for 50% of the total costs of care. Implementation of a protocol aimed at early diagnosis and treatment of complications might lead to a decrease in morbidity and mortality, but also prove to be cost effective.

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“…Others have used radiologic evidence to define anastomotic bowel leak. These also include subclinical leaks [16,17]. Therefore, it is difficult to compare studies accurately.…”

Section: Discussionmentioning

confidence: 99%