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CC BY 4.0 · Journal of Coloproctology 2025; 45(01): s00451804914
DOI: 10.1055/s-0045-1804914
Original Article

Anastomotic Leak Risk Calculator – Can it be Used to Predict Anastomotic Leaks in Colonic Surgeries?

Varsha Chinta 
1   Department of General Surgery, Kasturba Medical College Manipal, Manipal Academy Of Higher Eductaion, Manipal, Karnataka, India
,
Badareesh Lakshminarayana 
1   Department of General Surgery, Kasturba Medical College Manipal, Manipal Academy Of Higher Eductaion, Manipal, Karnataka, India
,
Roshen Samuel 
1   Department of General Surgery, Kasturba Medical College Manipal, Manipal Academy Of Higher Eductaion, Manipal, Karnataka, India
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Abstract

Objectives

We aimed to evaluate the Anastomotic Leak Risk Calculator in predicting the outcome of Colonic Anastomosis in right and left sided colonic surgeries at our institution from November 2022 to May 2024. We also evaluated the various variables which may predict the risk of leak pre-operatively and intra-operatively.

Methods

Patients who underwent colectomy on an emergency/elective basis were included and were followed for 30 days post operatively. Preoperative, intraoperative and post operative data was collected which was used to derive a risk score using the previously developed Anastomotic Leak Risk Calculator.

Results

The predictability of occurrence of Anastomotic leak (AL) in colonic surgeries by the Anastomotic Leak Risk Calculator has not been statistically significant. AL percentage in our study was 6.7%. The site of anastomosis significantly effects the probability of occurrence of anastomotic leak. The occurrence of intra operative complications have a significant effect on the preoperative and post-operative anastomotic leak risk score. There is a significant effect of AL on the duration of hospital stay post-surgery and the 30-day outcome of the patient.

Conclusion

An accurate assessment of the risk of anastomotic leak is crucial to tailor personalized treatment choices for patients. Various pre-operative and intraoperative factors must be carefully analyzed to decide the further course of action in every patient who requires colonic surgery.

Keywords

Anastomotic Leak - colonic surgery - post operative complications

Authors' Contributions

Badareesh Lakshminarayana contributed to Conceptualisation of the study, designing of the study, critical revision of the article and final approval of the manuscript. Varsha Chinta contributed in collection and compilation of data, data analysis and interpretation. Roshen Samuel contributed in drafting the article and preparing the final manuscript.




Publication History

Received: 13 October 2024

Accepted: 05 February 2025

Article published online:
12 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Varsha Chinta, Badareesh Lakshminarayana, Roshen Samuel. Anastomotic Leak Risk Calculator – Can it be Used to Predict Anastomotic Leaks in Colonic Surgeries?. Journal of Coloproctology 2025; 45: s00451804914.
DOI: 10.1055/s-0045-1804914
 

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