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World Journal of Surgery
Published in: World Journal of Surgery 3/2006

01-03-2006

Tissue Oxygen Saturation during Colorectal Surgery Measured by Near-infrared Spectroscopy: Pilot Study to Predict Anastomotic Complications

Authors: Yasumitsu Hirano, MD, PhD, Kenji Omura, MD, PhD, Yasuhiko Tatsuzawa, MD, PhD, Junzo Shimizu, MD, PhD, Yukimitsu Kawaura, MD, PhD, Go Watanabe, MD, PhD

Published in: World Journal of Surgery | Issue 3/2006

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Abstract

Introduction

We investigated the relation between tissue oxygen saturation measured by near-infrared spectroscopy (NIRS) and anastomotic complications associated with colorectal surgery.

Methods

A series of 20 patients with colorectal cancer underwent radical surgery with enteric anastomosis. Measurements of tissue oxygen saturation (StO2) were performed at both the proximal and distal portions of the anastomotic site; in cases of anterior resection, we measured StO2 only in the proximal portion.

Results

Two anastomotic complications (one leakage, one stenosis) occurred in the 20 cases. The StO2 in patients with anastomotic complications was 58.0%, and that in patients without complications was 71.0%. Altogether, 18 patients had StO2 values > 66%, and none of them had anastomotic complications. In contrast, 2 patients had StO2 values < 60%, and both had anastomotic complications.

Conclusions

The StO2 of the anastomotic site can be safely and reliably measured by NIRS during colorectal surgery. Low StO2 on both sides of the anastomosis may indicate an increased risk of anastomotic complications. Further study is needed to determine the cutoff value for StO2 required to prevent serious complications.
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Metadata
Title
Tissue Oxygen Saturation during Colorectal Surgery Measured by Near-infrared Spectroscopy: Pilot Study to Predict Anastomotic Complications
Authors
Yasumitsu Hirano, MD, PhD
Kenji Omura, MD, PhD
Yasuhiko Tatsuzawa, MD, PhD
Junzo Shimizu, MD, PhD
Yukimitsu Kawaura, MD, PhD
Go Watanabe, MD, PhD
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 3/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-005-0271-y

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