Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/10295
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dc.contributor.authorThe 2015 European Society Of Coloproctology Collaborating Groupen_US
dc.contributor.authorDemirbaş, Sezaien_US
dc.date.accessioned2023-03-22T07:58:38Z-
dc.date.available2023-03-22T07:58:38Z-
dc.date.issued2018-06-19-
dc.identifier.urihttps://hdl.handle.net/20.500.11851/10295-
dc.description.abstractAimThere is little evidence to support choice of technique and configuration for stapled anastomoses after right hemicolectomy and ileocaecal resection. This study aimed to determine the relationship between stapling technique and anastomotic failure.MethodAny unit performing gastrointestinal surgery was invited to contribute data on consecutive adult patients undergoing right hemicolectomy or ileocolic resection to this prospective, observational, international, multicentre study. Patients undergoing stapled,side-to-side ileocolic anastomoses were identified and multilevel, multivariable logistic regression analyses were performed to explore factors associated with anastomotic leak. Results One thousand three hundred and forty-seven patients were included from 200 centres in 32 countries. The overall anastomotic leak rate was 8.3%. Upon multivariate analysis there was no difference in leak rate with use of a cutting stapler for apical closure compared with a noncutting stapler (8.4%vs8.0%, OR 0.91, 95%CI 0.54–1.53,P=0.72). Oversewing of the apical staple line, whether in the cutting group (7.9%vs9.7%,OR 0.87, 95% CI 0.52–1.46,P=0.60) or noncutting group (8.9%vs5.7%, OR 1.40, 95% CI 0.46–4.23,P=0.55) also conferred no benefit in terms of reducing leak rates. Surgeons reporting to be general surgeons had a significantly higher leak rate than those reporting to be colorectal surgeons (12.1%vs7.3%, OR1.65, 95% CI 1.04–2.64,P=0.04).ConclusionThis study did not identify any difference in anastomotic leak rates according to the type of stapling device used to close the apical aspect. In addition, oversewing of the anastomotic staple lines appears to confer no benefit in terms of reducing leak rates. Although general surgeons operated on patients with more high-risk characteristics than colorectal surgeons, a higher leak rate for general surgeons which remained after risk adjustment needs further explorationen_US
dc.language.isoenen_US
dc.publisherWiley online libraryen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBowel anastomosisen_US
dc.subjectStapleren_US
dc.subjectOversewnen_US
dc.subjectSurgi-cal techniqueen_US
dc.subjectAnastomotic leaken_US
dc.subjectColorectal canceren_US
dc.subjectCrohn’s diseaseen_US
dc.subjectEpidemiologyen_US
dc.subjectInternationalen_US
dc.subjectSurgeryen_US
dc.titleThe impact of stapling technique and surgeon specialism on anastomotic failure after right‐sided colorectal resection: an international multicentre, prospective auditen_US
dc.typeResearch Articleen_US
dc.departmentFaculties, School of Medicine, Department of General Surgeryen_US
dc.identifier.doidoi:10.1111/codi.14308-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Başka Kurum Yazarıen_US
dc.description.volume20en_US
dc.description.issue11en_US
dc.description.startpage1028en_US
dc.description.endpage1040en_US
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextopen-
item.fulltextWith Fulltext-
item.openairetypeResearch Article-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.dept03.14. Department of Internal Medicine-
Appears in Collections:Cerrahi Tıp Bilimleri Bölümü / Department of Surgical Sciences
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