The risk factors for AL in the study included: prolonged surgery (>2 hours) (OR = 24.3; 95% CI 3.9 - 149.7, p < 0.001), perioperative blood transfusion (OR = 39.5; 95% CI 3 - 520.6, p = 0.005), TDT was determined as a protective factor for the junction (OR = 0.202; 95% CI 0.048 - 0.856; p = 0.03).