Intraoperative complications have a negative impact on postoperative outcomes after rectal cancer surgery
| Autor: | Martina Mittlböck, Stefan Riss, Anton Stift, Praminthra Chitsabesan, Katharina Riss |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Complications Colorectal cancer Postoperative Complications Rectal resection medicine Humans Postoperative outcome Rectal cancer Intraoperative Complications Aged Retrospective Studies Aged 80 and over Univariate analysis Predictive marker Rectal Neoplasms business.industry Mortality rate General Medicine Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Anesthesia Rectal cancer surgery Female business Complication |
| Zdroj: | International Journal of Surgery. 12:833-836 |
| ISSN: | 1743-9191 |
| Popis: | Purpose The impact of intraoperative complications on the postoperative outcome in rectal cancer surgery is only poorly studied in literature. Thus, the aim of the present study was to assess the frequency of intraoperative complications during rectal resections for malignancies and its influence on the short term outcome. Material and methods We analyzed 605 consecutive patients, who had operations for rectal cancer at a single institution between 1995 and 2010. Retrospective data from the surgical procedure and postoperative course were obtained from the institutional colorectal database and individual chart reviews. Intraoperative complications were recorded and its influence on postoperative course was investigated. Results Intraoperative complications occurred in 66 (10.9%) patients, with injury to the spleen ( n = 35 of 66, 53%) being the most frequent complication. Patients with intraoperative complications had a significant longer hospital stay (median: 13 days, range 7–92) compared to patients without complications (median: 12 days, range 2–135; p = 0.0102). In addition, intraoperative complications showed a tendency towards an increased risk for postoperative surgical complications ( p = 0.0536), whereas no impact on postoperative medical complications could be found ( p = 0.8043). Pulmonary disorders were the only predictive marker for intraoperative complications ( p = 0.0247) by univariate analysis. Conclusion We found that intraoperative complications during rectal cancer surgery significantly prolonged hospital length stay. The overall morbidity rate was not affected. |
| Databáze: | OpenAIRE |
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