Intraoperative colonic pulse oximetry in left-sided colorectal surgery : can it predict anastomotic leak?

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http://hdl.handle.net/10138/300769

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Salusjärvi , J M , Carpelan-Holmström , M A , Louhimo , J M , Kruuna , O & Scheinin , T M 2018 , ' Intraoperative colonic pulse oximetry in left-sided colorectal surgery : can it predict anastomotic leak? ' , International Journal of Colorectal Disease , vol. 33 , no. 3 , pp. 333-336 . https://doi.org/10.1007/s00384-018-2963-4

Title: Intraoperative colonic pulse oximetry in left-sided colorectal surgery : can it predict anastomotic leak?
Author: Salusjärvi, Johannes M.; Carpelan-Holmström, Monika A.; Louhimo, Johanna M.; Kruuna, Olli; Scheinin, Tom M.
Contributor: University of Helsinki, HYKS erva
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, IV kirurgian klinikka
Date: 2018-03
Language: eng
Number of pages: 4
Belongs to series: International Journal of Colorectal Disease
ISSN: 0179-1958
URI: http://hdl.handle.net/10138/300769
Abstract: An anastomotic leak is a fairly common and a potentially lethal complication in colorectal surgery. Objective methods to assess the viability and blood circulation of the anastomosis could help in preventing leaks. Intraoperative pulse oximetry is a cheap, easy to use, fast, and readily available method to assess tissue viability. Our aim was to study whether intraoperative pulse oximetry can predict the development of an anastomotic leak. The study was a prospective single-arm study conducted between the years 2005 and 2011 in Helsinki University Hospital. Patient material consisted of 422 patients undergoing elective left-sided colorectal surgery. The patients were operated by one of the three surgeons. All of the operations were partial or total resections of the left side of the colon with a colorectal anastomosis. The intraoperative colonic oxygen saturation was measured with pulse oximetry from the colonic wall, and the values were analyzed with respect to post-operative complications. 2.3 times more operated anastomotic leaks occurred when the colonic StO(2) was Low intraoperative colonic StO(2) values are associated with the occurrence of anastomotic leak. Despite its handicaps, the method seems to be useful in assessing anastomotic viability.
Subject: Anastomotic leak
Colorectal surgery
Oximetry
RISK-FACTORS
MICROPERFUSION
COMPLICATIONS
SPECTROSCOPY
3126 Surgery, anesthesiology, intensive care, radiology
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