Prevention and management of anastomotic leakage after colorectal resection: evolving trends among Italian surgeons. A SICCR survey - Summary - MDSpire

Trends in Prevention and Management of Anastomotic Leakage Following Colorectal Resection: Insights from a Survey of Italian Surgeons by SICCR

  • By

  • Renato Costi

  • Alfredo Annicchiarico

  • Antonio Amato

  • Cristina Folliero

  • Claudio Guerci

  • Alessandro Facchinetti

  • Filippo Montali

  • Gian Andrea Binda

  • July 16, 2026

Share

Objective:

To appraise actual clinical practice in anastomotic leakage (AL) prevention, diagnosis, and management among Italian surgeons in the early 2020s.

Approach:
  • Survey Design: An online questionnaire was distributed to general surgery residents and certified surgeons, focusing on AL management in elective and emergency settings.
  • Data Collection: Responses were collected from December 2023 to March 2024, with a total of 26 items covering various aspects of AL management.
  • Statistical Analysis: Data were analyzed using frequencies and percentages, with stratification based on the number of colectomies performed.
Key Findings:
  • Anastomotic leakage remains a significant complication in colorectal surgery, with rates reported between 3-8%.
  • Factors influencing AL include surgical technique, patient comorbidities, and operative setting.
  • Recent advancements in techniques and management strategies have not led to a definitive reduction in AL rates.
Interpretation:

Despite the introduction of new techniques and guidelines, the management of anastomotic leakage has not significantly improved, indicating a gap between recommended practices and actual clinical behavior.

Limitations:
  • The survey may not fully capture the diversity of practices across all Italian hospitals.
  • Responses may be influenced by the self-reported nature of the survey.
Conclusion:

The survey highlights the need for improved adherence to guidelines and the adoption of effective practices in the management of anastomotic leakage.

Original Source(s)

Prevention and management of anastomotic leakage after colorectal resection: evolving trends among Italian surgeons. A SICCR survey

  • by Renato Costi, Alfredo Annicchiarico, Antonio Amato, Cristina Folliero, Claudio Guerci, Alessandro Facchinetti, Filippo Montali, Gian Andrea Binda

  • July 16, 2026

Related Content

Funnel Mesh Reduced Parastomal Hernias

Randomized trial found lower hernia rates at 3 years with no increase in mesh-related complications

AI Scribes Lag Clinicians on Note Quality

A VHA study across 11 vendors finds AI-generated primary care notes score lower than clinician-written notes, with the largest deficits in thoroughness, organization, and usefulness

Prehabilitation Program May Benefit Patients Undergoing CRC Surgery

Structured implementation increased participation and improved preoperative fitness, while postoperative complication and mortality rates remained similar across groups.