Postoperative colonic ischemia incidence after elective colectomy for colorectal cancer is approximately 0.27%, with left hemicolectomy, transverse colectomy, and ileocecectomy showing the highest risk.
Significant associations exist between ischemia risk and vascular comorbidities such as peripheral vascular disease, chronic kidney disease, congestive heart failure, and liver disease.
Postoperative colonic ischemia markedly increases the likelihood of reoperation, extends hospital stay, and elevates in-hospital mortality rates.
Risk stratification, selective vessel preservation, and intraoperative perfusion assessment represent potential strategies to mitigate ischemia-related complications.
