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The aortic calcification is a risk factor for colorectal anastomotic leakage

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Abstract

Purpose

The current pooling up analysis aimed to evaluate whether aortic calcification (AC) was a potential risk factor for anastomotic leakage (AL) after colorectal surgery.

Methods

In this study, we searched studies in three databases including PubMed, Embase, and the Cochrane Library on April 20, 2022. In order to investigate the association between AC and AL, the hazard ratios (HRs) and 95% confidence intervals (CIs) of AC were pooled up. Our study was performed with RevMan 5.3 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.

Results

We finally enrolled eight studies involving 1955 patients for statistical analysis. As for all patients, we found that AC could significantly increase the risk of AL after surgery (HR = 2.31, I2 = 0%, 95%CI = 1.58 to 3.38, P < 0.01). In five studies including patients undergoing colorectal surgery (benign diseases and cancers), AC was also a risk factor for AL (HR = 3.30, I2 = 2%; 95%CI = 1.83 to 5.95, P < 0.01). In terms of the other three studies that only included CRC patients, there was still a correction between AC and AL (HR = 1.80, I2 = 0%, 95%CI = 1.10 to 2.96, P = 0.02).

Conclusion

Patients with AC were more likely to develop AL after colorectal surgery. Moreover, subgroup analysis suggested that AC was a predictor for AL after CRC surgery.

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Data availability

The data was accessed in the database.

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Acknowledgements

We acknowledgment to all the authors in this article.

Funding

This study is supported by CQMU Program for Youth Innovation in Future Medicine (W0190).

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  1. Xu-Rui Liu and Fei Liu have contributed equally to this work.

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

    Xu-Rui Liu, Fei Liu, Wei Zhang & Dong Peng

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Correspondence to Dong Peng.

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Liu, XR., Liu, F., Zhang, W. et al. The aortic calcification is a risk factor for colorectal anastomotic leakage. Updates Surg 75, 1857–1865 (2023). https://doi.org/10.1007/s13304-023-01630-4

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