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Anastomotic leakage is the major postoperative complication in right colectomy. Evaluation of calcification on coeliac trunk and mesenteric arteries on the preoperative CT scan could allow the identification of patient at-risk of postoperative complications.
A monocentric retrospective study performed at CHD Vendée concluded than a calcification score over or equal to 3 was associated with a higher risk of developping an anastomotic leakage.
The aim of this prospective multicentric study is to validate a calcification score based on preoperative CT scan analysis and focussing at coeliac trunk and mesenteric arteries.This study will involve patients operated on with a scheduled right colectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Right colectomy | Patient with scheduled right colectomy and with a documented preoperative scan. |
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| Measure | Description | Time Frame |
|---|---|---|
| Total calcification score associated with the occurrence of anastomotic leakage | Sum of the calcification scores of the following 4 segments (≥3) associated with the occurrence of anastomotic leakage within 6 weeks postoperatively. 4 segments:
| 6 weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Calcification score of each segment associated with the occurrence of anastomotic leakage | 4 segments:
| 6 weeks after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patient admitted for right colectomy in one of the 6 hospitals or clinics.
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| Name | Affiliation | Role |
|---|---|---|
| Emeric ABET | CHD Vendée | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Angers | Angers | France | ||||
| Hopital privé de Sévigné |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 16, 2026 |
| ID | Term |
|---|---|
| D002114 | Calcinosis |
| D057868 | Anastomotic Leak |
| ID | Term |
|---|---|
| D002128 | Calcium Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D011183 | Postoperative Complications |
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| Morbidities defined according to Clavien-Dindo classification |
Morbidities defined according to Clavien-Dindo classification occurring at 6 weeks postoperatively |
| 6 weeks after surgery |
| Cesson-Sévigné |
| France |
| CH de Challans | Challans | 85300 | France |
| CH de Cholet 1 rue Marengo | Cholet | 49300 | France |
| Centre Hospitalier de Fougères | Fougères | 35300 | France |
| CHD Vendée | La Roche-sur-Yon | 85925 | France |
| Centre Hospitalier du Mans | Le Mans | France |
| Clinique Mutualiste de la Porte de l'Orient | Lorient | 56324 | France |
| CHU de Nantes | Nantes | 44093 | France |
| Centre Hospitalier de Saint Brieuc | Saint-Brieuc | France |
| Clinique Mutualiste de l'Estuaire | Saint-Nazaire | 44600 | France |
| Centre Hospitalier Bretagne Atlantique | Vannes | 56017 | France |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |