Anastomotic leakage as a risk factor for the long-term outcome after curative resection of colon cancer
| Autor: | Thomas Steffen, F. Marra, Rene Warschkow, Michael Zünd, N. Kalak, Jochen Lange, Ignazio Tarantino |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Kaplan-Meier Estimate Anastomosis Risk Factors Surgical Wound Dehiscence medicine Humans Neoplasm Metastasis Risk factor Survival rate Aged Aged 80 and over business.industry Incidence Incidence (epidemiology) Anastomosis Surgical General Medicine Perioperative Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome Oncology Colonic Neoplasms Cohort Population study Female Neoplasm Recurrence Local business Switzerland Follow-Up Studies |
| Zdroj: | European Journal of Surgical Oncology (EJSO). 35:1060-1064 |
| ISSN: | 0748-7983 |
| Popis: | Long-term outcome for curative colon cancer surgery may be impaired by anastomotic leakage, but most studies regard colon and rectal cancer patients as one group. The aim of this study was to determine whether anastomotic leakage following potentially curative resection for colon cancer is a risk factor for postoperative mortality and for long-term survival.Medical records of a cohort of 440 consecutive patients undergoing 445 curative resections for explicit colon cancer with primary anastomosis above the peritoneal reflection were reviewed. Therefore patients with rectal cancer were not included. Diagnosis of leakage was made by clinical features or abdominal CT-scans.The study population consisted of 266 men and the mean age was 68.6 years. Median follow-up time was 66.5 months. Anastomotic leakage occurred in 12 patients. Four of these died within 30 days after surgery compared to 15 of the remaining 428 patients without leakage (p0.001). The 5-year overall survival rate was 25% in patients with anastomotic leakage compared to 61.2% in those without leakage (p0.001). Excluding 30-day mortality, respective values were 33.3 and 63.7% (p=0.02).Although anastomotic failure after colon cancer surgery is rare, it is a very severe complication that not only impairs the perioperative morbidity and mortality but also significantly influences the long-term outcome negatively. |
| Databáze: | OpenAIRE |
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