Predictive features of anastomotic leakage after colorectal resection in complex multivisceral cytoreductive surgery for ovarian cancer

The authors aimed to identify preoperative and intraoperative predictive features of colorectal anastomotic leakage (AL) in patients undergoing complex cytoreductive surgery for ovarian cancer. They found that a lymphocyte-to-monocyte ratio ≥ 2.14 was associated with a lower likelihood of AL, while extensive pelvic disease and concurrent splenectomy were strong predictors of AL. Although AL led to longer hospital stays and higher re-intervention rates, it did not significantly impact disease-free or overall survival.