The effect of metabolic syndrome on postoperative outcomes following laparoscopic colectomy
| Autor: | Philippe Wind, B. Gayet, Renato Costi, C. Denet, R. Besson, David Fuks, Nicolas Tabchouri, H. Levard, A. Zarzavadjian Le Bian, T. Perniceni |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Colectomies Blood transfusion Adolescent medicine.medical_treatment Blood Loss Surgical Anastomotic Leak Postoperative Hemorrhage 030230 surgery Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Humans Medicine Blood Transfusion Colectomy Aged Retrospective Studies Aged 80 and over Metabolic Syndrome business.industry Mortality rate Gastroenterology Length of Stay Middle Aged medicine.disease Colorectal surgery Surgery Case-Control Studies 030220 oncology & carcinogenesis Female Laparoscopy Metabolic syndrome business Abdominal surgery |
| Zdroj: | Techniques in Coloproctology. 22:215-221 |
| ISSN: | 1128-045X 1123-6337 |
| DOI: | 10.1007/s10151-018-1772-7 |
| Popis: | Among the criteria used to diagnose metabolic syndrome (MS), obesity and diabetes mellitus (DM) are associated with poor postoperative outcomes following colectomy. MS is also associated with colorectal cancer (CRC) and diverticulosis, both of which may be treated with colectomy. However, the effect of MS on postoperative outcomes following laparoscopic colectomy has yet to be clarified. In an academic tertiary hospital, data from all consecutive patients undergoing laparoscopic colectomy from 2005 to 2014 were prospectively recorded and analysed. Patients presenting with MS [defined by the presence of three or more of the following criteria: elevated blood pressure, body mass index > 28 kg/m2, dyslipidemia (decreased serum HDL cholesterol, increased serum triglycerides) and increased fasting glucose/DM] were compared with patients without MS regarding peri-operative outcome [mainly anastomotic leaks, severe postoperative complications (Clavien–Dindo III and IV)] and mortality. Overall, 1236 patients were included: 508 (41.1%) right colectomies and 728 (58.9%) left colectomies. Seven hundred seventy-two (62.4%) of these procedures were performed for CRC. MS was diagnosed in 85 (6.9%) patients, who were significantly older than the others (70 vs. 64.2 years, p |
| Databáze: | OpenAIRE |
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