Timing and Perioperative Risk Factors for In-Hospital and Post-Discharge Venous Thromboembolism After Colorectal Cancer Resection

2012 ◽  
Vol 18 (6) ◽  
pp. 569-575 ◽  
Author(s):  
Daniel L. Davenport ◽  
H. David Vargas ◽  
Michael W. Kasten ◽  
Eleftherios S. Xenos
2010 ◽  
Vol 52 (6) ◽  
pp. 1745
Author(s):  
Eleftherios Xenos ◽  
Daniel L. Davenport ◽  
David J. Minion ◽  
Ehab E. Sorial ◽  
Shane D. O'Keeffe ◽  
...  

2004 ◽  
Vol 74 (1-2) ◽  
pp. 4-9 ◽  
Author(s):  
Matthew J. F. X. Rickard ◽  
Owen F. Dent ◽  
Gael Sinclair ◽  
Pierre H. Chapuis ◽  
E. Leslie Bokey

2017 ◽  
Vol 102 (7-8) ◽  
pp. 299-306 ◽  
Author(s):  
Daisuke Kyuno ◽  
Kazuaki Sasaki ◽  
Keisuke Ohno ◽  
Ai Konno ◽  
Takeshi Murakami ◽  
...  

This study aimed to assess perioperative morbidity and mortality in elderly patients following colorectal cancer resection and to investigate risk factors for postoperative complications. This study reviewed 697 consecutive patients who underwent elective colorectal cancer resection between 2005 and 2013 at our institution. Patients were divided into 3 groups according to their age: ≤74 (n = 420), 75 to 89 (n = 261), and ≥90 years (n = 16). Clinical findings, morbidity, and mortality were compared among these groups. Univariate and multivariate logistic regression analyses were performed with clinically relevant variables for the complications that increased with aging. Postoperative delirium and pneumonia showed significant increases with aging. There were no significant differences in mortality and morbidity among the 3 groups, except for the 2 aforementioned diseases. Multiple logistic regression analysis showed that dementia and laparoscopic surgery were independent determinants of postoperative delirium and that age and American Society of Anesthesiologists (ASA) score were independent risk factors for postoperative pneumonia. Dementia, high ASA score, and age were the risk factors for higher postoperative morbidity in elderly patients. Our results demonstrated the effectiveness of laparoscopic surgery for the prevention of postoperative delirium after colorectal resection.


2016 ◽  
Vol 34 (4) ◽  
pp. 248-256 ◽  
Author(s):  
Kun Hyung Kim ◽  
Dae Hun Kim ◽  
Hee Young Kim ◽  
Gyung Mo Son

Objective To assess the efficacy/effectiveness and safety of acupuncture in patients recovering from colorectal cancer resection. Methods We systematically searched four English language databases (Medline, Embase, CENTRAL (Cochrane Central Register of Controlled Trials), and AMED (Allied and Complementary Medicine Database)) and one Chinese database (CAJ, China Academic Journals). Randomised trials of acupuncture compared with usual/routine care, sham interventions or active comparators in patients undergoing colorectal cancer resection were eligible for inclusion. Postoperative symptoms and quality of life (QoL) were the primary outcomes for the review. Results Of 1225 screened hits, seven randomised trials with 540 participants were included. High or uncertain risk of bias and significant heterogeneity were observed. All outcomes were measured before discharge, and no trial explicitly reported post-discharge outcomes. The response to acupuncture in terms of postoperative symptoms was inconsistent across trials. QoL was not measured in the included studies. For certain outcomes reflecting physiological recovery, favourable effects of acupuncture were observed compared with sham acupuncture, namely time to first flatus (n=207, three studies; mean difference (MD) −7.48 h, 95% CI −14.58 to −0.39 h, I2=0%) and time to first defaecation (n=149, two studies; MD −18.04 h, 95% CI −31.90 to −4.19 h, I2=0%). Two studies reported there were no acupuncture-related adverse events, whereas the remaining studies did not consider adverse events. Conclusions We found low-to moderate-quality evidence for the efficacy and safety of acupuncture for recovery after surgery in colorectal cancer patients. Future trials with adequate allocation concealment, blinding of outcome assessors, and measurement of post-discharge outcomes including QoL or functional recovery are warranted. Trial Registration Number CRD42014015537.


Sign in / Sign up

Export Citation Format

Share Document