Perioperative medicine & outcomes

Postoperative Day 2 C-reactive Protein Identifies Patients at Low Risk of Anastomotic Leakage After Colon Cancer Resection

Ann SurgPublished two-cohort multicenter diagnostic accuracy study

Study context

Population
Patients undergoing elective colon cancer resection with primary anastomosistest cohort 401 · validation cohort 213
Participants
401 vs 213
Comparison
POD2 C-reactive protein (CRP) <100 mg/L for excluding anastomotic leakage (AL) (Clavien-Dindo grade ≥3); in patients with POD2 CRP ≥100 mg/L, POD3/POD2 ratio <1
  • Testn = 401
  • Validationn = 213
Outcome
AL (Clavien-Dindo grade ≥3)

Performance

As reported in the abstract

Further findings

POD2 CRP <100 mg/L: AL and NPV test patients with POD2 CRP <100 mg/L 60% · validation patients with POD2 CRP <100 mg/L 46%

AL among patients with POD2 CRP <100 mg/L

NPV

AL among patients with POD2 CRP ≥100 mg/L

POD3/POD2 ratio <1 among patients with POD2 CRP ≥100 mg/L (combined cohort)

NPV, minimally invasive surgery
98.9%
NPV, open surgery
97.9%
Two-step strategy: patients who could be discharged by POD2 or 3 with AL risk near 1%
nearly 90%
  • Combined cohort

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Postoperative Day 2 C-reactive Protein Identifies Patients at Low Risk of Anastomotic Leakage After Colon Cancer Resection. Ann Surg. Published 9 October 2026. doi:10.1097/sla.0000000000007234

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