{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:31:53Z","timestamp":1787311913938,"version":"build-2736575974"},"reference-count":80,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Postoperative complications following colorectal surgery\u2014including anastomotic leak (AL), surgical site infection (SSI), perioperative haemorrhage and colovesical fistula\u2014represent major causes of patient morbidity and mortality, prolonged hospitalisation, and healthcare expenditure. This review summarises contemporary evidence across two key domains of complication management\u2014prevention and diagnosis\u2014applied to four major complications (AL, SSI, perioperative haemorrhage, and colovesical fistula), drawn from a comprehensive literature review of recent randomised controlled trials, systematic reviews, meta-analyses, and prospective cohort studies. Preventive strategies discussed include optimisation of surgical techniques (minimally invasive and robotic approaches, indocyanine green perfusion assessment, self-expanding metal stent bridge-to-surgery, and negative pressure wound therapy), modification of patient factors where possible (obesity, anaemia, malnutrition, and immunosuppression), and system-level interventions including Enhanced Recovery After Surgery (ERAS) protocols, perioperative beta-blockade, prehabilitation, and structured quality improvement bundles. Diagnostic strategies have evolved to incorporate biomarker surveillance (CRP and procalcitonin), drain fluid pH analysis, CT imaging (including angiography), endoscopy, and novel digital health tools including wearable monitoring and mobile health applications. Reducing the risk of postoperative complications should involve a multidisciplinary, protocolised approach combining intraoperative technique optimisation with structured perioperative care bundles and close post-discharge surveillance, and centralisation to specialist colorectal surgical units.<\/jats:p>","DOI":"10.3390\/jcm15145412","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:43:34Z","timestamp":1783683814000},"page":"5412","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From Recognition to Prevention: Modern Approaches to Complication Reduction in Colorectal Surgery"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7088-1286","authenticated-orcid":false,"given":"Yu-Ting","family":"Yeh","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hawkesbury District Hospital, 2 Day Street, Windsor, NSW 2756, Australia"},{"name":"Department of General Surgery, Blacktown & Mount Druitt Hospital, Blacktown Road, Blacktown, NSW 2148, Australia"},{"name":"Department of Surgery, Macquarie University Hospital, 3 Technology Place, Macquarie University, Sydney, NSW 2109, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7252-4165","authenticated-orcid":false,"given":"Nina","family":"Sriram","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Westmead Hospital, Western Sydney Local Health District, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6082-8710","authenticated-orcid":false,"given":"Waka","family":"Yanagisawa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Westmead Hospital, Western Sydney Local Health District, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2879049","DOI":"10.1155\/2019\/2879049","article-title":"The Clinical and Economic Burden of Colorectal Anastomotic Leaks: Middle-Income Country Perspective","volume":"2019","author":"Ribeiro","year":"2019","journal-title":"Gastroenterol. 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