WE1.2 Introducing the “Safe-Anastomosis” Checklist to Reduce Overall Anastomotic Leak Rates post Right Hemicolectomies

Abstract

Abstract Aims The ‘Safe-anastomosis’ Quality Improvement Intervention has been demonstrated with an overall reduction in anastomotic leak rates post right colectomy. Our study aims to demonstrate this reduction rate at a district general hospital. Methods This is a retrospective analysis of post-anastomotic leak rates in the hospital prior to the introduction of the anastomotic checklist as part of an international collaborative study (EAGLE study). Patient eligibility criteria included patients aged 18 and above who underwent a right hemicolectomy between February 2019 and June 2021. The inpatient mortality, 30-day re-admission and 30-day re-operation rates were included in the analysis. Results were compared with the prospectively collected EAGLE Study intervention data. Results A pre-interventional cohort of 57 patients was included. 12% (5 elective, 1 non-elective) were found to have an anastomotic leak. The median length of inpatient stay was 8 days. No patients were re-admitted within 30 days. 11% were re-operated on within 30 days. Mortality rate was 6% (none associated with a leak). When compared to the EAGLE study results, there was a 46.9% reduction rate in anastomotic leaks. No change was demonstrated in inpatient mortality rates. Conclusion Post-surgical anastomotic leaks create a drastic health and economic burden on hospitals. Working on reducing their rate can significantly improve outcomes. Hence, introducing the anastomotic safety checklist is an effective intervention which may reduce anastomotic leak rates. Hopefully, EAGLE study final outcomes may be able shade a light on this matter.