| Autor: |
JOSÉ GELLONA V, FELIPE BELLOLIO R, M. ELENA MOLINA P, RODRIGO MIGUIELES C, GONZALO URREJOLA S, ALVARO ZÚÑIGA D |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Revista chilena de cirugía. 65:242-248 |
| ISSN: |
0718-4026 |
| DOI: |
10.4067/s0718-40262013000300008 |
| Popis: |
Rectal cancer: early postoperative morbidity and mortality after radical resection Introduction: Therehasbeenprogressinsurgicaltreatmentofrectalcancer�(CR)�inthepastdecadedue� toabetterknowledgeofthediseaseandtheadoptionofnewmethodsofpreoperativestagingandtreatment.� Theaimofthisreportistoanalyzetheearlypostoperativemorbidityandmortalityinatenyearseriesof� patientswithCRsubmittedtoradicalresection. Methods:�Inthedatabaseofcolorectalcancerpatientspros- pectivelymaintained,�allpatientswithCRsubmittedtocurativeradicalresectionelectivelybetweenJanuary� 2000�andDecember�2010�wereidentified.� Earlypostoperative�(30�day)�morbidityandmortalityweredes- cribedandanalyzedinamultivariateanalysistoidentifypredictivefactors. Results: Atotalof�308�patients� wereincluded,�55.2%�malewithamedianageof�62�years.�Overtwothirdsoftumorswerelocatedinthe� midorlowerrectum.�Anteriorresectionwasperformedin�83.1%,�andneoadyuvantradio-chemotherapywas� usedin�37.7%.�Overallmorbidityandmortalitywere�13.6%�and�0.3%�respectively.�Inmultivariateanalysis,� AmericanSocietyofAnesthesiologistshadanorof�3.343�(1.601-�6.982)�forpostoperativemorbidity,�and� laparoscopicapproach�0.188�(0.054-0.649).�Conclusion:�Themorbidityrateofthisseriesissimilartothe� oneobservedinotherstudies.�TheASAscoreisanindependentriskfactorforpostoperativecomplication� andthelaparoscopicapproachwouldbeaprotectivefactor.�Inthisseries,�preoperativechemoradiationwas� notariskfactorforpostoperativemorbidity. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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