Evidence mapPaperPMID 40786138Full record

ArticleTherapeutics and clinical risk management2025

Risk Factors for Sigmoid Colonic Anastomosis: A Comparative and Cross-Sectional Analysis.

Tutkun Talih, Gokhan Sonmez, Erdogan M Sozuer, Sevket Tolga Tombul, Mahmut O Kulturoglu, Dogan G Islam, Hızır Y Akyıldız, Abdullah Demirtas, Mustafa Karaagac, Fatih Dal

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Article in Therapeutics and clinical risk management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tutkun TalihDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0003-3999-6733
Gokhan SonmezDepartment of Urology, Erciyes University, Kayseri, Turkey.ORCID 0000-0001-8391-1050
Erdogan M SozuerDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-3332-2570
Sevket Tolga TombulDepartment of Urology, Acibadem Hospital, Kayseri, Turkey.ORCID 0000-0002-5398-4088
Mahmut O KulturogluDepartment of General Surgery, Etlik City Hospital, Ankara, Turkey.ORCID 0000-0003-2293-7139
Dogan G IslamDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-8530-9378
Hızır Y AkyıldızDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0003-2352-6796
Abdullah DemirtasDepartment of Urology, Erciyes University, Kayseri, Turkey.ORCID 0000-0001-9102-5518
Mustafa KaraagacDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0002-3423-7941
Fatih DalDepartment of General Surgery, Erciyes University, Kayseri, Turkey.ORCID 0000-0003-2523-1369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the anastomotic leakage (AL) rates in cancerous and non-cancerous intestinal anastomoses and analyze the general risk factors for AL. Methods: The primary endpoint of this study is to investigate whether there is a difference in terms of AL between patients who underwent sigmoid colon resection + colorectal anastomosis due to primary colon cancer (Group 1) and patients with a completely healthy colorectal region who underwent sigmoid colon resection + colorectal anastomosis for use in the orthotopic bladder during radical cystoprostatectomy (Group 2). The secondary endpoint, considering all the patients, is to evaluate and investigate the risk factors affecting the AL rates. Results: A total of 178 patients, including 63 (35.4%) patients in Group 1 and 115 (64.6%) patients in Group 2, were included in the study. The mean age of all patients was 61.7 ± 9.9 years, and there was no statistical difference between the mean ages of the groups (62.8 ± 11.3 vs 60.7 ± 6.1, p = 0.106, respectively). Thirty-six (20.2%) of the patients were female, and 142 (79.8%) were male. There was no significant difference between the groups in terms of AL in the postoperative period. Postoperative AL was seen in three patients (4.8%) and six patients (5.2%) in Group 1 and Group 2, respectively (p = 0.642). According to univariate and multiple logistic regression analysis, the risk of AL increased in patients with comorbidities, in the presence of previous abdominal surgery, in patients with high neutrophil-to-lymphocyte ratio, and patients with postoperative ileus (p values are 0.042, 0.010, 0.029 and 0.048, respectively). Conclusion: Our data suggest that anastomosis due to colon cancer resection does not increase the risk of AL compared with healthy bowel anastomoses. In addition, some clinical factors have been found to compromise anastomotic safety and are risk factors for AL. In addition, some clinical factors have been found to endanger anastomotic safety and are risk factors for AL.

Indexed as

anastomotic leakagebladder cancercolon cancercolorectal anastomosisrisk factors

Identifiers

PMID40786138
PMCPMC12333642

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