Review Article

Cytokines as Early Markers of Colorectal Anastomotic Leakage: A Systematic Review and Meta-Analysis

Table 3

Definition of anastomotic leakage of included studies; CAL: colorectal anastomotic leakage.

AuthorYear ComplicationDefinition

Bertram et al. [23]2003CALPatients were considered uneventful if recovery occurred without signs of anastomotic leakage within 14 days after operation
Fouda et al. [21]2011CALAL was defined clinically as gas, pus, or fecal discharge from the drain, fecal discharge from the operative wound, pelvic abscess, peritonitis, and rectovaginal fistula
Herwig et al. [24]2002CALDiagnosis of AL was confirmed by endoscopy, contrast enema, abdominal CT scan, microbiologic examination, and finally intraoperative findings during relaparotomy
Matthiessen et al. [4, 19]2007CALPeritonitis caused by leakage, pelvic abscess, discharge of feces from the abdominal drain, or rectovaginal fistula, and leakage from all staple lines
Yamamoto et al. [20]2011PeritonitisThe diagnosis of postoperative peritonitis was based on clinical findings along with imaginary data and the colour of abdominal exudates
Ellebæk et al. [25]2014CALAnastomotic leakage was defined as a demonstrated defect of the intestinal wall at the anastomotic site leading to a communication between the intra- and extraluminal compartment’s
Reisinger et al. [26]2014CALClinically relevant AL was defined as extra luminal presence of contrast fluid on contrast CT scans and/or leakage when relaparotomy was performed, requiring reintervention