SciELO - Scientific Electronic Library Online

 
vol.71 número2Patología oculoplástica: Experiencia de 7 años en Hospital del Sistema de Salud Público de ChileResultados funcionales de pacientes tratados con faringolaringectomía y reconstrucción faríngea con colgajo pediculado índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

MUNOZ P., Nelson et al. Evaluation of the risk factors associated with anastomotic dehiscence in colorectal surgery. Multivariate analysis of 748 pacients. Rev. cir. [online]. 2019, vol.71, n.2, pp.136-144. ISSN 2452-4557.  http://dx.doi.org/10.4067/s2452-45492019000200136.

Introduction:

Anastomotic leakage (AL) is a severe complication in colorectal surgery, its incidence ranges from 2 to 19%. In international literature, we found numerous studies on the identification of risk factors (RF), while in the national there are only two series that analyze this complication.

Aim:

Perform a descriptive characterization of institutional results and establish the AL rate, its associated risk factors and mortality.

Materials and Method:

Non-concurrent series of cases, whose sample is consecutive patients operated for colorectal pathology with primary anastomosis with or without a derivative ostoma between 2004 and 2016. Univariate and multivariable logistic regression model was performed.

Results:

There were 748 patients, 50.5% women, mean age was 56.2. The most frequent surgical indications were colorectal cancer in 381 (50.9%) patients and diverticular disease in 163 (21.8%). The AL was 5.6% (42/748) and the mortality was 2% (15/748), being 1% for the electives (7/681). In the univariate analysis, we found that the RF that had statistical significance were albumin (p < 0.001), anastomosis height (p < 0.001), transfusion (p < 0.001), location (right colon > left) (p = 0.011), while that in the multivariate analysis were albumin (p = 0.002) with an OR 3.64 (IC 95% 1.58-8.35) and transfusion (p = 0.015) with an OR 7.15 (IC 95% 1.46-34.91).

Conclusion:

Our series is the largest reported in Chile, with similar results to international and national studies. We establish that hypoalbuminemia and the presence of intraoperative transfusions are associated with a high rate of AL.

Palabras clave : anastomotic leak; colorectal surgery; risk factors.

        · resumen en Español     · texto en Español     · Español ( pdf )