Peritoneal perforation during transanal endoscopic microsurgery is not associated with significant short-term complications
| Autor: | Jonathan Ramkumar, Ahmer A. Karimuddin, Carl J. Brown, Manoj J. Raval, P. Terry Phang |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Transanal Endoscopic Microsurgery Canada medicine.medical_specialty Adenoma Colorectal cancer medicine.medical_treatment Perforation (oil well) Risk Assessment 03 medical and health sciences Peritoneal cavity Postoperative Complications 0302 clinical medicine Internal medicine medicine Humans Intraoperative Complications Aged Retrospective Studies Rectal Neoplasms business.industry Histology Middle Aged Hepatology Microsurgery medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Intestinal Perforation 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Peritoneum business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 33:849-853 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | In patients treated by transanal endoscopic microsurgery (TEM), breach of the peritoneal cavity is a feared intraoperative challenge. Our aim is to analyze predictors and short-term outcomes of patients with peritoneal perforation (TEM-P) when compared to similar patients with no peritoneal compromise (TEM-N). At St. Paul’s Hospital, demographic, surgical, pathologic, and follow-up data for all patients treated by TEM is maintained in a prospectively populated database. A retrospective review was performed and two groups were established for comparison: TEM-P and TEM-N. Statistical analysis was performed using student’s t or chi-squared test, where appropriate. Of 619 patients treated by TEM between 2007 and 2016, 39 (6%) patients were in the TEM-P group and 580 (94%) in the TEM-N group. There were no differences between the groups in patient age, gender, histology, or tumor size. Patients who had peritoneal perforations had more proximal lesions (11 vs. 7 cm, p |
| Databáze: | OpenAIRE |
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