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Colorectal Dis. 2018 Sep;20 Suppl 6:47-57. doi: 10.1111/codi.14373.

Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit.

Collaborators (1371)

Sánchez-Guillén L, Nepogodiev D, Sivrikoz E, van Elst T, Minaya-Bravo AM, Pata F, Glasbey J, Pinkney T, Bhangu A, El-Hussuna A, Bhangu A, Buchs N, Buskens C, Chaudri S, Frasson M, Gallo G, Minaya A, Morton D, Negoi I, Pata F, Singh B, Zmora O, Pinkney T, Perry R, Magill L, Bhangu A, Altomare D, Bemelman W, Brown S, Denost Q, Knowles C, Laurberg S, Lefèvre J, Möeslein G, Pinkney T, Vaizey C, Bilali S, Bilali V, Salomon M, Cillo M, Estefania D, Patron Uriburu J, Ruiz H, Farina P, Carballo F, Guckenheimer S, Proud D, Brouwer R, Bui A, Nguyen B, Smart P, Warwick A, Theodore J, Herbst F, Birsan T, Dauser B, Ghaffari S, Hartig N, Stift A, Argeny S, Unger L, Strouhal R, Heuberger A, Varabei A, Lahodzich N, Makhmudov A, Selniahina L, Feryn T, Leupe T, Maes L, Reynvoet E, Van Langenhove K, Nachtergaele M, Monami B, Francart D, Jehaes C, Markiewicz S, Weerts J, Van Belle K, Bomans B, Cavenaile V, Nijs Y, Vertruyen M, Pletinckx P, Claeys D, Defoort B, Muysoms F, Van Cleven S, Lange C, Vindevoghel K, Wolthuis A, Todorovic M, Dabic S, Kenjic B, Lovric S, Vidovic J, Delibegovic S, Mehmedovic Z, Christiano A, Lombardi B, Marchiori M Jr, Tercioti V Jr, Dardanov D, Petkov P, Simonova L, Yonkov A, Zhivkov E, Maslyankov S, Pavlov V, Sokolov M, Todorov G, Stoyanov V, Batashki I, Iarumov N, Lozev I, Moshev B, Slavchev M, Atanasov B, Belev N, Krstev P, Penkov R, Šantak G, Ćosić J, Previšić A, Vukušić L, Zukanović G, Zelić M, Kršul D, Lekić Vitlov V, Mendrila D, Orhalmi J, Dusek T, Maly O, Paral J, Sotona O, Skrovina M, Bencurik V, Machackova M, Kala Z, Farkašová M, Grolich T, Procházka V, Hoch J, Kocian P, Martinek L, Antos F, Pruchova V, El-Hussuna A, Ceccotti A, Madsbøll T, Straarup D, Uth Ovesen A, Christensen P, Bondeven P, Edling P, Elfeki H, Alexandrovich Gameza V, Michelsen Bach S, Zheltiakova I, Krarup PM, Krogh A, Rolff HC, Lykke J, Juvik AF, Lóven HHK, Marckman M, Osterkamp JTF, Madsen AH, Worsøe J, Ugianskis A, Kjaer MD, Youn Cho Lee B, Khalid A, Kristensen MH, El Sorogy M, Elgeidie A, Elhemaly M, ElNakeeb A, Elrefai M, Shalaby M, Emile S, Omar W, Sakr A, Thabet W, Awny S, Metwally I, Refky B, Shams N, Zuhdy M, Lepistö A, Keränen I, Kivelä A, Lehtonen T, Siironen P, Rautio T, Ahonen-Siirtola M, Klintrup K, Paarnio K, Takala H, Hyöty M, Haukijärvi E, Kotaluoto SM, Lehto K, Tomminen T, Huhtinen H, Carpelan A, Karvonen J, Rantala A, Varpe P, Cotte E, Francois Y, Glehen O, Passot G, d'Alessandro A, Chouillard E, Etienne JC, Ghilles E, Vinson-Bonnet B, Germain A, Ayav A, Bresler L, Chevalier R, Denost Q, Didailler R, Rullier E, Tiret E, Chafai N, Lefevre J, Parc Y, Sielezneff I, Mege D, Lakkis Z, Barussaud M, Krones C, Bock B, Webler R, Baral J, Lang T, Münch S, Pullig F, Schön M, Hinz S, Becker T, Möller T, Richter F, Schafmayer C, Hardt J, Kienle P, Crescenti F, Ahmad M, Soleiman Y, Papaconstantinou I, Gklavas A, Nastos K, Theodosopoulos T, Vezakis A, Stamou K, Saridaki A, Xynos E, Paraskakis S, Zervakis N, Skroubis G, Amanatidis T, Germanos S, Maroulis I, Papadopoulos G, Dimitriou N, Alexandrou A, Felekouras E, Griniatsos J, Karavokyros I, Papadopoulos A, Chouliaras C, Ioannidis P, Katsounis D, Kefalou E, Katsoulis I, Balalis D, Manatakis D, Tzovaras G, Baloyiannis I, Mamaloudis I, Lázár G, Ábraham S, Paszt A, Simonka Z, Zaránd A, Baranyai Z, Ferreira G, Harsányi L, Ónody P, Banky B, Burány Á, Lakatos M, Marton J, Solymosi A, Besznyák I, Bursics A, Papp G, Saftics G, Svastics I, Valsdottir E, Atladottir J, Jonsson T, Moller P, Sigurdsson H, Gupta SK, Gupta S, Kaul N, Mohan S, Sharma G, Wani R, Chowdri N, Khan M, Mehraj A, Parray F, Coveney A, Burke J, Deasy J, El-Masry S, McNamara D, Khan MF, Cahill R, Faul E, Mulsow J, Shields C, Kelly ME, Bass G, Martin ST, O'Connell R, Ryan E, Connelly T, Ahmad G, Bukhari W, Cooke F, Zmora O, Gold Deutch R, Haim N, Lavy R, Moscovici A, Shussman N, Gefen R, Marom G, Pikarsky A, Weiss D, Avital S, Hermann N, Raguan B, Slavin M, White I, Wasserberg N, Arieli H, Gurevich N, Freund MR, Dorot S, Halfteck G, Reissman P, Yair E, Eden Y, Pery R, Tulchinsky H, Weizman A, Agresta F, Curinga R, Finotti E, Savino G, Verza LA, Asteria CR, Boccia L, Pascariello A, Tamini N, Bugatti A, Gianotti L, Totis M, Vincenti L, Andriola V, Giannini I, Travaglio E, Balestri R, Buccianti P, Roffi N, Rossi E, Urbani L, Mellano A, Cinquegrana A, Lauretta A, Belluco C, Mistrangelo M, Allaix ME, Arolfo S, Morino M, Testa V, Delrio P, Pace U, Rega D, Scala D, Gallo G, Clerico G, Cornaglia S, Realis Luc A, Trompetto M, Ugolini G, Antonacci N, Fabbri S, Montroni I, Zattoni D, D'Urbano C, Cornelli A, Viti M, Inama M, Bacchion M, Casaril A, Impellizzeri H, Moretto G, Spinelli A, Carvello M, David G, Di Candido F, Sacchi M, Frontali A, Ceriani V, Molteni M, Rosati R, Aleotti F, Elmore U, Lemma M, Vignali A, Scabini S, Casoni Pattacini G, Luzzi A, Romairone E, Marino F, Lorusso D, Pezzolla F, Colombo F, Baldi C, Foschi D, Sampietro G, Sorrentino L, Di Saverio S, Birindelli A, Segalini E, Spacca D, Romano GM, Belli A, Bianco F, De Franciscis S, Falato A, Muratore A, Marsanic P, Grimaldi S, Castaldo N, Ciolli MG, Picarella P, Porfidia R, Di Saverio S, Tugnoli G, Bondurri A, Cavallo D, Maffioli A, Pertusati A, Pulighe F, Balestra F, De Nisco C, Podda M, Opocher E, Longhi M, Mariani NM, Maroni N, Pisani Ceretti A, Galleano R, Aonzo P, Curletti G, Reggiani L, Marconi M, Del Prete L, Oldani M, Pappalardo R, Zaccone L S, Scatizzi M, Baraghini M, Cantafio S, Feroci F, Giani I, Tutino R, Cocorullo G, Gulotta G, Licari L, Salamone G, Sileri P, Saraceno F, La Torre F, Chirletti P, Coletta D, De Toma G, Mingoli A, Papandrea M, De Luca E, Sacco R, Sammarco G, Vescio G, Tonini V, Bianchini S, Cervellera M, Vaccari S, Cracco N, Barugola G, Bertocchi E, Rossini R, Ruffo G, Sartori A, Clemente N, De Luca M, De Luca A, Scaffidi G, Lorenzon L, Balducci G, Bocchetti T, Ferri M, Mercantini P, Pata F, Bauce S, Benevento A, Bottini C, Crapa PR, Rubbini M, Anania G, Carcoforo P, Cavallesco G, Feo C, Yamamoto T, Sivins A, Ancans G, Gerkis S, Lunis R, Pcolkins A, Venskutonis D, Bradulskis S, Dainius E, Subocius A, Vencius J, Zeromskas P, Eismiontas V, Nutautiene V, Simcikas D, Tamosiunas A, Svagzdys S, Latkauskas T, Lizdenis P, Saladzinskas Z, Tamelis A, Dulskas A, Kuliavas J, Samalavicius NE, Poskus T, Jotautas V, Mikalauskas S, Poskus E, Strupas K, Zakaria A, Lah NN, Wong M, Zain Z, Zakaria Z, Mazlan L, Mohd Azman ZA, Sagap I, Psaila J, Andrejevic P, Cini C, Ellul S, Pace K, Ahallat M, Hamid M, Hrora A, Majbar MA, Raiss M, Westerduin E, Bemelman W, Buskens C, Tanis P, van der Sluis PC, Davids PH, Pronk A, Schiphorst AHW, Smakman N, Zimmerman D, Koeter T, Stijns J, van Loon YT, Vermaas M, de Graaf E, Doornebosch P, van Hagen P, van Ruler O, Toorenvliet B, Nonner J, van den Berg I, van Steensel L, Vles W, Melenhorst J, Orsini R, Visschers R, Hoff C, Blom R, Marsman H, Mulder I, Cense H, de Castro S, Demirkiran A, Hunfeld M, van Geloven A, de Groof J, Hendriks E, Leeuwenburg M, van Oorschot N, Wit F, Rupert C, Veldman P, Keijzers M, Konsten J, Den Boer F, Corver M, Boerma EJ, Koolen L, Martens M, Van Wijck K, Ignjatovic D, Breuer R, Gurpreet B, Oresland T, Tetens Moe T, Nesbakken A, Flateh Backe I, Wik TA, Radiya K, Dehli T, Gjessing P, Norderval S, Woll K, Anwer M, Qureshi MS, Qureshi AU, Billah M, Jawad MY, Raza A, Urooj N, Wang X, Li L, Jajtner D, Gasinski B, Kabiesz W, Walega P, Romaniszyn M, Zawadzki M, Czarnecki R, Obuszko Z, Rzaca M, Sitarska M, Silva P, Duarte A, Gonçalves D, Morais M, Rama N, Nobre J, Sales I, Costa Pereira J, Costa S, Costa Pereira C, Insua C, Romero I, Figueiredo N, Cunha J, Domingos H, Vieira P, Cunha M, Americano M, Amorim E, Rachadell J, Carvas J, Armas I, Fernandes P, Pires C, Reis R, Martins R, Dos Santos M, Henriques P, Oliveira O, Duarte M, Ferreira L, Miranda J, Vilela N, Corte Real J, Carlos S, Frois Borges M, Moniz Pereira P, Simões J, Silva-Vaz P, Bettencourt V, Gouveia A, Perez H, Rainho R, Bintintan V, Ciuce C, Dindelegan G, Scurtu R, Seicean R, Cristian D, Burcos T, Grama F, Mandi DM, Richiteanu G, Miron A, Calu V, Enciu O, Nadragea M, Parvuletu R, Mogoanta SS, Crafciuc A, Paitici S, Negoi I, Beuran M, Ciubotaru C, Prodan A, Vartic M, Tomulescu V, Copaescu C, Popov D, Sednev A, Klimenko A, Semenov A, Vasilyev S, Pozdnyakov A, Cherdancev D, Mahotin D, Nesytykh A, Samsonyuk V, Pravosudov I, Ivlev D, Karachun A, Lebedev K, Samsonov D, Aiupov R, Feoktistov D, Garipov M, Nail S, Tarasov N, Yanishev A, Abelevich A, Kokobelyan A, Lebedeva M, Luzan R, Rasulov A, Dzhumabaev H, Mamedli Z, Bedzhanyan A, Khazov A, Khanevich M, Khrykov G, Katorkin S, Andreev P, Chernov A, Davidova O, Zhuravlev A, Achkasov S, Shakhmatov D, Shelygin Y, Sushkov O, Vardanyan A, Ilkanich A, Barbashinov N, Darvin V, Onishchenko S, Voronin Y, Krivokapić Z, Barišić G, Dimitrijević I, Marković V, Sekulić A, Stanojevic G, Brankovic B, Nestorovic M, Pecic V, Petrovic D, Kostic I, Aleksic A, Dabic D, Maric B, Perunicic V, Radovanovic Z, Djuric M, Lukic D, Radovanovic D, Cuk V, Juloski J, Kenic M, Krdzic I, Ngu JC, Ng YY, Teo N, Korcek J, Lazorisak A, Rems M, Ramovš Trampuš Š, Tomazic A, Grosek J, Kosir J, Norcic G, Vigorita V, Caceres N, Casal E, Ruano A, Trostchansky I, Golda T, Galvez Saldaña A, Kreisler Moreno E, Lopez Dominguez J, Vila Tura M, Labarga F, Galvez P, Maderuelo V, Suero C, Bargallo J, Cayetano L, Lamas S, Silva MC, Bernal-Sprekelsen JC, Gómez R, Jareño S, Ríos A, Vercher D, García-González JM, Cervera-Aldama J, Ramos-Prada J, Santamaría-Olabarrieta M, Borda N, Enrriquez-Navascués JM, Saralegui Y, Calero-Lillo A, Aznar-Puig S, López-Lara MA, Muñoz-Collado S, Valverde-Sintas J, Menendez P, Leon C, Truan N, Baldonedo R, Martínez D, Otero J, Solar L, Turrado-Rodriguez V, de Lacy Oliver F, Lacy Fortuny AM, Martin Perez B, Otero Piñeiro AM, Paredes J, Fernandez F, Ladra MJ, Paulos A, Prieto D, Beltrán de Heredia JP, Blanco Antona F, de Andrés Asenjo B, Ferreras García C, Romero de Diego A, Cordoba Diaz de Laspra E, Echazarreta Gallego E, Elia Guedea M, Escola D, Martinez S, Primo Romaguera V, Parreño R, Pastor L, Rosell E, Lozoya Trujillo R, Alós Company R, Ruiz Carmona MD, Solana Bueno A, Salvans Ruiz S, Alonso Gonçalves S, Jiménez-Toscano M, Pascual Damieta M, Pera Roman M, Pellicer-Franco EM, Garcia-Marin JA, Mengual-Ballester M, Soria-Aledo V, Valero-Navarro G, Vicente-Ruiz M, Garcia-Zamora C, Gonzalez-Gil A, Montoya-Tabares MJ, Paredes-Quiles M, Die Trill J, Abadia P, Moreno I, Pina JD, Ramos Rubio D, Escartin J, Blas JL, Fernando J, Ferrer R, Garcia Egea J, Pros I, Martinez W, Rius J, Socías M, Sabia D, Castellvi Valls J, Gonzalez Santin V, Mompart Garcia S, Viso Pons L, Julià D, Codina-Cazador A, Farrés R, Gómez N, Planellas P, Cuadrado M, Camps I, Rufas M, Escoll J, Fermiñán A, Muriel P, Sierra E, Alvarez-Laso C, Lora P, Padin H, Garcia-Septiem J, Bustamante C, Jimenez V, Jimenez-Miramon J, Ramos JL, Gallardo AB, Benito P, Colao L, Galindo P, Garcia C, Forero-Torres A, Alonso Poza A, Dieguez Fernandez B, Gilsanz Martin C, Hernandez Garcia M, Rojo López JA, Gil López JM, González Zunzárren M, Martínez Alegre J, Zorrilla Matilla JP, Navarro-Sánchez A, Alcalá Serrano FJ, López-Fernández J, Montesdeoca Cabrera D, Alvarez-Gallego M, Guevara J, Pascual Miguelañez I, Rubio-Perez I, Gomez Ruiz M, Alonso Martín J, Cagigas Fernández C, Castillo Diego J, Pando JA, Maristany C, Muñoz-Duyos A, Rada-Palomino A, Vargas-Pierola H, Peña Ros E, Benavides Buleje JA, Muñoz Camarena JM, Parra Baños PA, Ramirez Faraco M, Arenal JJ, Citores MA, Marcos JL, Sánchez J, Tinoco C, García Flórez LJ, Arias Pacheco RD, Mínguez Ruiz G, Rodríguez Corral N, Rodríguez Infante A, Carrillo López MJ, Carrasco Prats MM, Lage Laredo A, Martínez Manzano Á, Rodríguez García P, Segura-Sampedro JJ, Alonso-Hernández N, Fernandez Isart M, Gamundi Cuesta M, Ochogavia Segui A, Ibañez N, Abrisqueta J, Lujan J, Gómez Pérez R, Corrales Valero E, Monje Salazar C, Sanchiz Cardenas E, Soler Humanes R, Jimenez-Rodriguez RM, De la Portilla F, Diaz Pavon JM, Garcia Cabrera AM, Reyes Diaz ML, Espin E, Marinello F, Martí M, Sanchez JL, Vallribera F, Orts Mico FJ, Ortin Navarro M, Perez Climent M, Serra Diaz C, Millan M, Caro A, Escuder J, Espina B, Feliu F, Climent Aira A, Estévez Diz A, Moreno Asencio MT, Varela Mato A, Vázquez Bouzán R, Minaya-Bravo AM, Diez-Alonso MM, Villeta-Plaza R, Guadalajara H, Alías D, García Olmo D, Pastor C, Valverde I, Sanchez Romero A, Gardea A, Gil Santos M, Nimmersgern T, Serrano Paz P, Romero-Simó M, Blasco-Segura T, Caravaca-García I, Costa-Navarro D, Zarco-Pleguezuelos A, Sánchez-Guillén L, Flor-Lorente B, Frasson M, García-Granero Á, García-Granero E, Arencibia B, Alonso J, Febles G, Nogués EM, Roque C, Segelman J, Nygren J, Nestler G, Abraham-Nordling M, Egenvall M, Myrelid P, Jung B, Loftås P, Lydrup ML, Azahr N, Buchwald P, Mangell P, Syk I, Nikberg M, Carlander J, Chabok A, Smedh K, Tiselius C, Haapaniemi S, Benckert A, Adamina M, Freil-Lanter C, Gingert C, Müller P, Schäfli J, Regusci L, Brenna M, Fasolini F, Misteli H, Kirchhoff P, Oertli D, Hahnloser D, Clerc D, Hübner M, Ris F, Buchs NC, Chevallay M, Morel P, Schiltz B, Wang JY, Su WC, Huang CW, Ma CJ, Tsai HL, Özbalcı GS, Özkan BB, Karabacak U, Bugra D, Agalar F, Baloglu H, Basoglu I, Okkabaz N, Binboga E, Biricik A, Celik A, Yavuz E, Canda AE, Agalar C, Fuzun M, Sokmen S, Terzi C, Isik A, Karip B, Bilgili AC, Leventoglu S, Aytac B, Yıldız A, Yuksel O, Sinan H, Hancerliogullari O, Kaymak S, Kozak O, Ozer MT, Sarici IS, Akca O, Kalayci MU, Kara Y, Bugra D, Agcaoglu O, Balik E, Bayram O, Sungurtekin U, Ozgen U, Demirbas S, Öztürk E, Isik O, Yilmazlar T, Colak E, Karagul S, Kinas V, Fearnhead N, Lord I, Stewart P, Zammit M, Arnold S, Battersby N, Broadhurst J, Mehta A, Seretis F, Shabbir J, Jones C, Kynaston J, Vimalachandran D, Blower E, McFaul C, McWhirter D, Pilkington J, Wilson T, Chowdhary M, Stubbs B, Abdalkoddus M, Lai C, Thavanesan N, Yao C, Agarwal T, Dindyal S, Hill RMC, Reade S, Slesser A, Paterson H, Balfour A, Boland M, Geraghty A, O'Kelly J, Patel P, Tezas S, Yahia S, Jadhav V, Marimuthu K, Narayanan A, Piramanayagam B, Bradley N, Buchanan F, Paul K, Singh J, Thomson K, Korsgen S, Bedford M, Lee K, Leong K, McArthur D, Bhangu A, Malik S, Mohamed I, Cunha P, Pilavas A, Reddy A, Ahmed S, Ahmed A, Voll J, Velchuru V, Lal R, Mirshekar-Syahkal B, Kassai M, Aleem M, Keogh-Bootland S, Sarmah P, Brown S, Keegan R, Kelkar A, Sen P, Oliveira-Cunha M, Chaudhri S, Fares R, Singh B, Thomas WM, Aslam MI, Boyle K, Hemingway D, Miller A, Norwood M, Gurjar S, Al-Saeedi M, Anandan L, Sudlow A, Zampitis N, Malik K, Bogdan M, Smart C, Iqbal MR, Bailey S, Lawes D, Omar G, Tamhane R, Evans M, Ather S, Lim J, Nageswaran H, Taylor G, Hunt L, Nicholls J, Shaikh I, Muscara F, O'Brien J, Photi E, Stearns A, Meylemans D, Cunningham C, Hompes R, Tennakoon A, Kumarasinghe N, Rao M, Upanishad I, Smolarek S, Platt E, Rossi B, Tham JC, Khan J, Ahmad N, Shweejawee Z, Stefan S, Smart N, Daniels I, Gregoir T, Longstaff L, McDermott F, Varcada M, Drami I, Gala T, Moggia E, Ratnatunga K, Harries R, Hayes J, Williams G, Raymond T, Bronder C, Davies E, Hawkin P, Ryska O, Ayral K, Beveridge A, Bhowmik A, Gill M, Simpson R, Schofield A, McArdle K, Parmar M, Williamson M, Burton H, Courtney E, Grant C, Saracino A, Newton K, Epstein J, Branagan G, Bignell M, Symankewicz M, Zaman S, Mankotia R, Siddiqui Z, Torrance A, Artioukh D, Eggleston M, Gokul K, Selwyn D, Warusavitarne J, Chandrasinghe P, Grainger J, Leo CA, Vaizey CJ, Harris G, Levy B, Skull A, Thaha M, Ahmed S, Garg A, Patel H, Ramsanahie A, Mondragon-Pritchard M, Cuinas Leon K, Shukla A, Brewer H, Fitzgerald J, Kho H, Torkington J, Tate S, Wheat J, Knight J, Richardson J, Tzivanakis A, Gregori M, Ashraf MA, Atif M, Santos J, Saffaf N, Canning L, Chandratreya N, Bowen M, Graham B, Hamad Y, Kaubrys M, Chaudhry ZU, Bhan C, Mukhtar H, Oshowo A, Wilson J, Richardson J, Gouvas N, Nicol D, Pandey S, Zilvetti M, Sharma A, Fatayer T, Mothe S, Rahman M, Curtis N, Allison A, Dalton R, Francis N, Ockrim J, Psaras G, Dudarovaska H, Marharint T, Mostovoy E, Voloshin S, Kolesnik O, Makhmudov D, Altinel Y, Iqbal A, Cunningham L, Go K, Tan S.

Abstract

INTRODUCTION:

Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection.

METHODS:

A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complication rate (Clavien-Dindo grade 3 to 5).

RESULTS:

From 591 patients, 455 (77%) received an end stoma, 103 a primary anastomosis (17%) and 33 primary anastomosis with defunctioning stoma (6%). In multivariable models, anastomosis was associated with a similar major complication rate to end stoma (adjusted odds ratio for end stoma 1.52, 95%CI 0.83-2.79, P = 0.173). Although a defunctioning stoma was not associated with reduced anastomotic leak (12% defunctioned [4/33] vs 13% not defunctioned [13/97], adjusted odds ratio 2.19, 95%CI 0.43-11.02, P = 0.343), it was associated with less severe complications (75% [3/4] with defunctioning stoma, 86.7% anastomosis only [13/15]), a lower mortality rate (0% [0/4] vs 20% [3/15]), and fewer reoperations (50% [2/4] vs 73% [11/15]) when a leak did occur.

CONCLUSIONS:

Primary anastomosis in selected patients appears safe after left sided emergency colorectal resection. A defunctioning stoma might mitigate against risk of subsequent complications.

KEYWORDS:

Surgery; anastomotic leak; colon cancer; emergency surgery; gastrointestinal surgery; rectal cancer; surgical complications; surgical outcomes

PMID:
30255647
DOI:
10.1111/codi.14373

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