Right Colectomy
Conditions
Keywords
right colectomy, calcification, anastomotic leakage
Brief summary
Anastomotic leakage is the major postoperative complication in right colectomy. Evaluation of calcification on coeliac trunk and mesenteric arteries on the preoperative CT scan could allow the identification of patient at-risk of postoperative complications. A monocentric retrospective study performed at CHD Vendée concluded than a calcification score over or equal to 3 was associated with a higher risk of developping an anastomotic leakage. The aim of this prospective multicentric study is to validate a calcification score based on preoperative CT scan analysis and focussing at coeliac trunk and mesenteric arteries.This study will involve patients operated on with a scheduled right colectomy.
Interventions
None listed
Sponsors
Centre Hospitalier Departemental Vendee
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years old * Scheduled right colectomy with restoration of digestive continuity * Patient who has had or will have a preoperative abdominal-pelvic CT scan with or without contrast injection * Patient with the ability to understand the protocol and agree to participate in the study. * Affiliated with a social security system
Exclusion criteria
* Patient requiring a right colectomy or ileocaecal resection for chronic inflammatory bowel disease or on long-term corticosteroid therapy * Patient with a history of colic resection * Patient under guardianship, curatorship, or deprived of liberty * Pregnant, postpartum or breastfeeding women * Minor patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total calcification score associated with the occurrence of anastomotic leakage | 6 weeks after surgery | Sum of the calcification scores of the following 4 segments (≥3) associated with the occurrence of anastomotic leakage within 6 weeks postoperatively. 4 segments: * Ostium of celiac artery * Ostium of superior mesenteric artery * first segment of superior mesenteric artery * distal segment of superior mesenteric artery Each segment will be assigned a score between 0 and 2. Total score range : 0-8 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calcification score of each segment associated with the occurrence of anastomotic leakage | 6 weeks after surgery | 4 segments: * Ostium of celiac artery * Ostium of superior mesenteric artery * first segment of superior mesenteric artery * distal segment of superior mesenteric artery Each segment will be assigned a score between 0 and 2. |
| Morbidities defined according to Clavien-Dindo classification | 6 weeks after surgery | Morbidities defined according to Clavien-Dindo classification occurring at 6 weeks postoperatively |
Countries
France
Outcome results
None listed