Colon cancer resection type ‘most important predictor’ of anastomotic leak

The findings suggest limited resections should be considered, especially in older and high-risk patients.

Total colectomy is the most significant risk factor for anastomotic leak following colon cancer resections, putting patients at four times higher risk of the catastrophic complication, research shows. 

Data from 20,000 adults in the Bowel Cancer Outcomes Registry also suggest that subtotal colectomy and extended right hemicolectomy are predictors of anastomotic leak (AL).