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Impact of omentoplasty on anastomotic leak and septic complications after low pelvic anastomosis: a study from the NSQIP database

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

The role of omentoplasty in the prevention of anastomotic leak (AL) in colorectal surgery is controversial. The aim of this study was to evaluate the impact of omentoplasty on AL and septic complications after low pelvic anastomosis using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database.

Methods

The ACS-NSQIP database was queried for patients who underwent segmental colectomy with low pelvic anastomosis by using 2012 targeted colectomy participant use data file. Patients were divided into two groups according to omentoplasty versus no-omentoplasty formation. AL and surgical site infections (SSIs) within postoperative 30 days were compared between the groups.

Results

A total of 2891 patients (1447 [50.1%] males) with a mean age of 60.2 ± 13.0 years met the inclusion criteria. There were 86 (2.9%) and 2805 (97.1%) patients in the omentoplasty and no-omentoplasty group, respectively. In the multivariate analysis, omentoplasty neither reduced AL (p = 0.83; OR = 0.88, 95% CI, 0.21–2.44) nor organ/space SSIs (p = 0.08; OR = 2.14, 95% CI, 0.91–4.41). Also, this technique did not play any role in reducing AL and organ/space SSI rates regardless of diversion with the exception of its association with higher organ/space SSIs in patients without diverting stoma (9.2% vs 3.8%, p = 0.04). No differences were detected between the groups with respect to the management strategies for AL (p = 0.22).

Conclusions

Omentoplasty did not decrease AL and septic complications after low pelvic anastomosis and had no impact on the postoperative management of AL.

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Acknowledgments

The American College of Surgeons National Surgical Quality Improvement Program and the hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program are the source of the data used herein; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.

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Authors and Affiliations

  1. Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA

    Volkan Ozben, Gokhan Ozuner, Ozgen Isik, Emre Gorgun & Luca Stocchi

  2. NYP Cornell-Methodist Hospital, 506 6th Avenue, Brooklyn, NY, 11215, USA

    Gokhan Ozuner

  3. Section of Biostatistics, Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA

    Xiaobo Liu

Authors
  1. Volkan Ozben
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  2. Gokhan Ozuner
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  3. Ozgen Isik
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  4. Emre Gorgun
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  5. Luca Stocchi
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  6. Xiaobo Liu
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Corresponding author

Correspondence to Gokhan Ozuner.

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The authors declare that they have no conflict of interest.

Additional information

Presented as a poster at the Digestive Disease Week meeting, May 16–19, 2015, Washington, DC, USA

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Ozben, V., Ozuner, G., Isik, O. et al. Impact of omentoplasty on anastomotic leak and septic complications after low pelvic anastomosis: a study from the NSQIP database. Int J Colorectal Dis 33, 1733–1739 (2018). https://doi.org/10.1007/s00384-018-3151-2

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  • DOI: https://doi.org/10.1007/s00384-018-3151-2

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