%0 Journal Article %T Is a Defunctioning Stoma Necessary After Left Colectomy in High-risk Patients for Anastomotic Leak? %+ Chirurgie digestive [CHU Amiens] %+ Simplification des soins chez les patients complexes - UR UPJV 7518 (SSPC) %+ CHU Amiens-Picardie %A Bouland, Tressy %A Sabbagh, Charles %A Allart K, Kevin %A Pellegrin, Alexandra %A Regimbeau, Jean-Marc %< avec comité de lecture %@ 1051-7200 %J Surgical Laparoscopy Endoscopy & Percutaneous Techniques %I Wolters Kluwer - Lippincott Williams & Wilkins %V 32 %N 6 %P 677-682 %8 2022 %D 2022 %R 10.1097/SLE.0000000000001109 %Z Life Sciences [q-bio]/Human health and pathologyJournal articles %X Introduction: Left colectomy is associated with a 7% risk of anastomotic leak. In 2011, a prediction score for AL [the colon leakage score (CLS)] was developed. The aim was to evaluate the impact of a defunctioning stoma on AL and its consequences after left colectomy in high-risk patients.Patients: From January 2012 to June 2019, high-risk patients who underwent a left colectomy with anastomosis were included in this retrospective, single-center study. Two groups of patients were defined: patients undergoing a left colectomy with an anastomosis without a defunctioning stoma (no-stoma group) and those with a defunctioning stoma (stoma group). The primary endpoint was the rate of anastomotic leakage.Results: Ninety-two patients were included in this study. The anastomotic leakage rate was 16.4% in the no-stoma group and 21.6% in the stoma group ( P =0.5). A conservative approach was applied to 11.2% in the no-stoma group and 50% in the stoma group ( P =0.1). The severe morbidity rate was 14.5% in the no-stoma group and 21.6% in the stoma group ( P =0.4). The rate of unplanned admissions was 7% in the no-stoma group and 27% in the stoma group ( P =0.01).Conclusion: A defunctioning stoma does not appear to reduce the rate of AL in high-risk patients, but its impact on the management of AL remains unclear. %G English %L hal-03890171 %U https://u-picardie.hal.science/hal-03890171 %~ UNIV-PICARDIE %~ U-PICARDIE %~ SSPC %~ TEST3-HALCNRS