scholarly journals POSTOPERATIVE INTRAABDOMINAL COMPLICATIONS IN COLON CANCER SURGERY COMPLICATED BY BOWEL OBSTRUCTION AND PERFORATION OF THE TUMOR

2015 ◽  
Vol 174 (5) ◽  
pp. 98-104 ◽  
Author(s):  
S. A. Aliev ◽  
E. S. Aliev ◽  
B. M. Zeinalov
Keyword(s):  
Colon Cancer ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Retrospective Analysis ◽  
Large Intestine ◽  
Bowel Obstruction ◽  
Abdominal Cavity ◽  
Cancer Surgery ◽  
Perioperative Prophylaxis ◽  
Colon Cancer Surgery

The article presents a retrospective analysis of the results of surgical treatment of postoperative intraabdominal complications in 42 patients with colon cancer complicated by bowel obstruction and perforation of the tumor. The pyoinflammatory processes such as peritonitis and abscesses of abdominal cavity took a leading place in the structure of postoperative complications according to the authors. Method of «closed» decompression and intraluminal irrigation of the large intestine without wide opening of organ lumen was developed and applied into practice as perioperative prophylaxis of pyoinflammatory processes. These measures allowed reducing the rate of postoperative intraabdominal complications from 19,2 to 7,7%.

scholarly journals Risk factors of short-term survival in the aged in elective colon cancer surgery: a population-based study

2019 ◽  
Vol 35 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Susanna Niemeläinen ◽  
Heini Huhtala ◽  
Anu Ehrlich ◽  
Jyrki Kössi ◽  
Esa Jämsen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Colon Cancer ◽  
Postoperative Complications ◽  
Population Based ◽  
Cancer Surgery ◽  
Mortality Data ◽  
Short Term ◽  
Population Based Study ◽  
Colon Cancer Surgery ◽  
Elective Colon

Abstract Purpose Patients aged > 80 years represent an increasing proportion of colon cancer diagnoses. Selecting patients for elective surgery is challenging because of possibly compromised health status and functional decline. The aim of this retrospective, population-based study was to identify risk factors and health measures that predict short-term mortality after elective colon cancer surgery in the aged. Methods All patients > 80 years operated electively for stages I–III colon cancer from 2005 to 2016 in four Finnish hospitals were included. The prospectively collected data included comorbidities, functional status, postoperative surgical and medical outcomes as well as mortality data. Results A total of 386 patients (mean 84.0 years, range 80–96, 56% female) were included. Male gender (46% vs 35%, p = 0.03), higher BMI (51% vs 37%, p = 0.02), diabetes mellitus (51% vs 37%, p = 0.02), coronary artery disease (52% vs 36%, p = 0.003) and rheumatic diseases (67% vs 39%, p = 0.03) were related to higher risk of complications. The severe complications were more common in patients with increased preoperative hospitalizations (31% vs 15%, p = 0.05) and who lived in nursing homes (30% vs 17%, p = 0.05). The 30-day and 1-year mortality rates were 6.0% and 15% for all the patients compared with 30% and 45% in patients with severe postoperative complications (p < 0.001). Severe postoperative complications were the only significant patient-related variable affecting 1-year mortality (OR 9.60, 95% CI 2.33–39.55, p = 0.002). Conclusions The ability to identify preoperatively patients at high risk of decreased survival and thus prevent severe postoperative complications could improve overall outcome of aged colon cancer patients.

scholarly journals Does Intracorporeal Anastomosis Decrease the Rate of Surgical Site Infection in Laparoscopic Colon Cancer Surgery?

2021 ◽  
Vol 105 (1-3) ◽  
pp. 643-648
Author(s):  
Yeon Wook Ju ◽  
Woong Bae Ji ◽  
Jung Sik Kim ◽  
Kwang Dae Hong ◽  
Jun Won Um
Keyword(s):  
Colon Cancer ◽  
Surgical Site Infection ◽  
Radical Surgery ◽  
Abdominal Cavity ◽  
Intracorporeal Anastomosis ◽  
Cancer Surgery ◽  
Site Infection ◽  
Extraction Site ◽  
Significant Difference ◽  
Colon Cancer Surgery

Objective This study aimed to compare the surgical site infection (SSI) rates between intracorporeal anastomosis (ICA) and extracorporeal anastomosis (ECA). Summary of background data Laparoscopic surgery is recommended for colonic malignancies because of its superior clinical outcomes and comparable oncologic results. Laparoscopic colectomy with ICA has the advantages of incision length and free extraction site choice. However, ICA may be associated with a risk of SSI due to enterotomy inside the abdominal cavity. Methods We retrospectively analyzed patients with colon cancer who underwent radical surgery at Korea University Ansan Hospital between January 2017 and June 2020. We compared the SSI rates and other clinical variables between the ICA and ECA groups. Results Of the 502 patients who underwent radical surgery for colorectal cancer during the study period, 234 were eligible for inclusion. ECA and ICA were performed in 62.4% and 37.6% of patients, respectively. There were no statistically significant intergroup differences in clinicopathologic variables. The overall SSI rate did not differ between the groups (P = 0.801), but organ/space SSIs were more common in the ICA group than in the ECA group (P = 0.048). Conclusions There was no significant difference in overall SSI or anastomotic leakage (AL) rates between the ICA and ECA groups, but the organ/space SSI rate was higher in the ICA group when AL cases were excluded. Further high-quality studies are needed to assess the risk of organ/space SSIs in the ICA after colon cancer surgery.

Perirenal fat surface area as a risk factor for perioperative difficulties and 30-day postoperative complications in elective colon cancer surgery

2018 ◽  
Vol 20 (12) ◽  
pp. 1078-1087 ◽  
Author(s):  
O. der Hagopian ◽  
M. Dahlberg ◽  
G. Heinius ◽  
J. Nordberg ◽  
J. Gustafsson ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Risk Factor ◽  
Postoperative Complications ◽  
Surface Area ◽  
Cancer Surgery ◽  
Colon Cancer Surgery ◽  
Elective Colon ◽  
Perirenal Fat

Incidence of Adhesive Bowel Obstruction After Colon Cancer Surgery and its Risk Factors

2018 ◽  
Vol 268 (1) ◽  
pp. 114-119 ◽  
Author(s):  
Gi Hyeon Seo ◽  
Eun Kyung Choe ◽  
Kyu Joo Park ◽  
Young Jun Chai
Keyword(s):  
Risk Factors ◽  
Colon Cancer ◽  
Bowel Obstruction ◽  
Cancer Surgery ◽  
Colon Cancer Surgery

Decreased risk of surgery for small bowel obstruction after laparoscopic colon cancer surgery compared with open surgery: a nationwide cohort study

2016 ◽  
Vol 30 (12) ◽  
pp. 5572-5582 ◽  
Author(s):  
Kristian Kiim Jensen ◽  
Peter Andersen ◽  
Rune Erichsen ◽  
Thomas Scheike ◽  
Lene Hjerrild Iversen ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cohort Study ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Open Surgery ◽  
Cancer Surgery ◽  
Colon Cancer Surgery ◽  
Laparoscopic Colon

scholarly journals Effect of hemodialysis on short-term outcomes after colon cancer surgery

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262531
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Shintaro Hashimoto ◽  
Kiyoaki Hamada ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Minimally Invasive Surgery ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Hemodialysis Patients ◽  
Cancer Surgery ◽  
Poor Performance Status ◽  
Short Term ◽  
Colon Cancer Surgery

Background Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. Methods This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. Results Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384–7.5730; p = 0.026). Conclusion Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients.

scholarly journals Sarcopenia is associated with increased severe postoperative complications after colon cancer surgery

2019 ◽  
Author(s):  
Tolga Olmez ◽  
Erdal Karakose ◽  
Hilmi Bozkurt ◽  
Halime Pence ◽  
Selcuk Gulmez ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Postoperative Complications ◽  
Cancer Surgery ◽  
Colon Cancer Surgery
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