Is a Defunctioning Stoma Necessary After Left Colectomy in High-risk Patients for Anastomotic Leak? - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Surgical Laparoscopy Endoscopy & Percutaneous Techniques Année : 2022

Is a Defunctioning Stoma Necessary After Left Colectomy in High-risk Patients for Anastomotic Leak?

(1, 2) , (1, 2) , (1, 2) , (3, 2) , (1, 2)
1
2
3

Résumé

Introduction: Left colectomy is associated with a 7% risk of anastomotic leak. In 2011, a prediction score for AL [the colon leakage score (CLS)] was developed. The aim was to evaluate the impact of a defunctioning stoma on AL and its consequences after left colectomy in high-risk patients. Patients: From January 2012 to June 2019, high-risk patients who underwent a left colectomy with anastomosis were included in this retrospective, single-center study. Two groups of patients were defined: patients undergoing a left colectomy with an anastomosis without a defunctioning stoma (no-stoma group) and those with a defunctioning stoma (stoma group). The primary endpoint was the rate of anastomotic leakage. Results: Ninety-two patients were included in this study. The anastomotic leakage rate was 16.4% in the no-stoma group and 21.6% in the stoma group ( P =0.5). A conservative approach was applied to 11.2% in the no-stoma group and 50% in the stoma group ( P =0.1). The severe morbidity rate was 14.5% in the no-stoma group and 21.6% in the stoma group ( P =0.4). The rate of unplanned admissions was 7% in the no-stoma group and 27% in the stoma group ( P =0.01). Conclusion: A defunctioning stoma does not appear to reduce the rate of AL in high-risk patients, but its impact on the management of AL remains unclear.
Fichier non déposé

Dates et versions

hal-03890171 , version 1 (08-12-2022)

Identifiants

Citer

Tressy Bouland, Charles Sabbagh, Kevin Allart K, Alexandra Pellegrin, Jean-Marc Regimbeau. Is a Defunctioning Stoma Necessary After Left Colectomy in High-risk Patients for Anastomotic Leak?. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2022, 32 (6), pp.677-682. ⟨10.1097/SLE.0000000000001109⟩. ⟨hal-03890171⟩

Collections

U-PICARDIE SSPC
0 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook Twitter LinkedIn More