Intraoperative perfusion assessment of the proximal colon by a visual grading system for safe anastomosis after resection in left-sided colorectal cancer patients
| العنوان: | Intraoperative perfusion assessment of the proximal colon by a visual grading system for safe anastomosis after resection in left-sided colorectal cancer patients |
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| المؤلفون: | Hyo Seon Ryu, Eu-Tteum Choi, Seok-Byung Lim, Chan Wook Kim, Jong Lyul Lee, Yong Sik Yoon, Jin Cheon Kim, Inho Song, In Ja Park, Chang Sik Yu |
| المصدر: | Scientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) Scientific Reports |
| بيانات النشر: | Nature Portfolio, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Colon, Colorectal cancer, Science, Anastomotic Leak, Anastomosis, Risk Assessment, Left sided, Article, Ischemic colitis, Resection, 03 medical and health sciences, Visual grading, 0302 clinical medicine, Risk Factors, medicine, Humans, Proximal colon, Prospective Studies, Signs and symptoms, Colectomy, Aged, Intraoperative Care, Multidisciplinary, business.industry, Anastomosis, Surgical, Gastroenterology, Age Factors, Rectum, Middle Aged, medicine.disease, Surgery, Treatment Outcome, Regional Blood Flow, 030220 oncology & carcinogenesis, Feasibility Studies, Medicine, Female, 030211 gastroenterology & hepatology, Anatomy, Colorectal Neoplasms, business, Perfusion |
| الوصف: | We aimed to evaluate the clinical feasibility of a new visual grading system. We included 50 patients who underwent resection of primary colorectal cancer. Before anastomosis, the marginal vessel was cut and the perfusion status was assessed by a visual grading system. The visual grading system is comprised of five grades according to the bleeding from the marginal vessel and is categorized into 4 groups: good (grade A and B), moderate (grade C), poor (grade D) and none (grade E). Colorectal anastomosis was performed only in the good and moderate groups. We compared postoperative outcomes between the good and moderate groups and analysed the factors affecting the perfusion grade. Among the patients, 48% were grade A, 12% were grade B, and 40% were grade C. There was no anastomotic leakage. Only one patient with grade C showed ischemic colitis and needed reoperation. Age was the only factor correlated with perfusion grade in multivariate analysis (OR 1.080, 95% CI 1.006–1.159, p = 0.034). The perfusion grades were significantly different between > 65 and 65, A 29.2% B 12.5% C 58.3% vs. p = 0.006). Our intraoperative perfusion assessment that uses a cutting method and a visual grading system is simple and useful for performing a safe anastomosis after colorectal resection. If the perfusion grade is better than grade C, an anastomosis can be performed safely. Age was found to be an important factor affecting the perfusion grade. |
| اللغة: | English |
| تدمد: | 2045-2322 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23524183e1c0ba50892492472cfe9c7dTest https://doaj.org/article/d171a134713547a592e551c753589b74Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....23524183e1c0ba50892492472cfe9c7d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20452322 |
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