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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 121006
DOI 10.4240/wjgs.121006
Country China
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Risk factors for anastomotic leakage after radical colorectal cancer surgery and its impact on prognosis: Clinical education research
Manuscript Source Unsolicited Manuscript
All Author List Yu Wang, Tao Wang, Zhi-Duan Xu, Su-Hang Wang and Fang-Fang Chen
Funding Agency and Grant Number
Funding Agency Grant Number
Teaching Research Project of Bengbu Medical University, Anhui Province (Key Project) No. 2025fyjyxm10
Scientific Research Project of Anhui Higher Education Institutions No. 2024AH051186
Corresponding Author Yu Wang, Chief Physician, The Four Branches of General Surgery, The First Affiliated Hospital of Bengbu Medical University, No. 287 Changhuai Road, Bengbu 233000, Anhui Province, China. house2737@163.com
Key Words Colorectal cancer; Radical surgery; Anastomotic leakage; Risk factors; Prognosis; Retrospective cohort study; Action-Process-Object-Schema theory; Critical thinking
Core Tip This retrospective cohort study evaluated the incidence, risk factors, and prognostic impact of anastomotic leakage (AL) after radical colorectal cancer surgery. Among 200 patients, AL occurred in 11.0% and was independently associated with body mass index ≥ 25 kg/m², diabetes mellitus, rectal tumor location, neoadjuvant therapy, hypoalbuminemia, prolonged operation time, and increased intraoperative blood loss, while protective stoma was a significant protective factor. Patients with AL had significantly worse short-term outcomes, including higher complication and reoperation rates, prolonged hospitalization, and delayed adjuvant chemotherapy. Importantly, AL was also associated with inferior long-term survival and was identified as an independent predictor of poorer disease-free survival.
Citation Wang Y, Wang T, Xu ZD, Wang SH, Chen FF. Risk factors for anastomotic leakage after radical colorectal cancer surgery and its impact on prognosis: Clinical education research. World J Gastrointest Surg 2026; In press
PDF 121006-in-press.pdf
Received
2026-04-28 12:15
Peer-Review Started
2026-04-28 12:15
First Decision by Editorial Office Director
2026-05-22 03:08
Return for Revision
2026-05-22 03:08
Revised
2026-06-08 10:10
Publication Fee Transferred
2026-06-24 01:47
Second Decision by Editor
2026-09-02 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-04 09:05
Articles in Press
2026-09-04 09:05
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-9366 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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