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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 4/2016

01-04-2016 | Original Article

Risk factors for anastomotic dehiscence in colon cancer surgery—a population-based registry study

Authors: Bodil Gessler, David Bock, Hans-Christian Pommergaard, Jakob Burcharth, Jacob Rosenberg, Eva Angenete

Published in: International Journal of Colorectal Disease | Issue 4/2016

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Abstract

Purpose

The aim of this was to assess potential risk factors for anastomotic dehiscence in colon cancer surgery in a national cohort.

Methods

All patients, who had undergone a resection of a large bowel segment with an anastomosis between 2008 and 2011, were identified in the Swedish Colon Cancer Registry. Patient factors, socioeconomic factors, surgical factors, and medication and hospital data were combined to evaluate risk factors for anastomotic dehiscence.

Results

The prevalence of anastomotic dehiscence was 4.3 % (497/11 565). Male sex, ASA classification III–IV, prescribed medications, bleeding more than 300 mL, and uncommon colorectal resections were associated with a higher risk of anastomotic dehiscence. Hospital stay was increased with 14.5 days, and 30-day mortality as well as long-term mortality was higher in the anastomotic dehiscence group.

Conclusions

There are several factors that are possible to know preoperatively or during surgery that can indicate whether an anastomosis is an appropriate option. Anastomotic dehiscence increases hospital stay and long-term mortality.
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Metadata
Title
Risk factors for anastomotic dehiscence in colon cancer surgery—a population-based registry study
Authors
Bodil Gessler
David Bock
Hans-Christian Pommergaard
Jakob Burcharth
Jacob Rosenberg
Eva Angenete
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 4/2016
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-016-2532-7

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