Application of colon leakage score in the left-sided colorectal surgery

Objective:The study aims to apply the CLS in patients undergoing left-sided colorectal surgery.Method: Retrospective study in patients with the left-sided colorectal surgery and primary anastomosis without diverting stoma.CLS was calculated in patients, who were classified in AL and NO-AL groups.Predictive value of CLS was evaluated by receiver operator characteristic.Correlation between CLS and AL was determined.208 patients (55% male, mean age 59 years) were included in the study.Results: Overall, AL was 7.2%.Mean CLS of all patients was 7.2 3.2 (0-17).Patients with AL had a higher CLS (11.8 2.3) than NO-AL patients (6.8 3) (p = 0.0001).The area under the curve for the prediction of AL by CLS was 0.898 ([CI] 0.829-0.968,p = 0.0001).A CLS of 8.5 had 93% sensitivity and 72% specificity.There was a statistically significant odds ratio for CLS and AL (0.58: [CI] 0.46-0.73,p = 0.0001).Conclusions: CLS is a useful tool to predict AL in the left-sided colorectal surgery.