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Results for “POSTOPERATIVE COMPLICATIONS”

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At least 937 records · Page 52Linked to original sources
PubMed1980

Postoperative complications after right colonic resections for inflammatory bowel disease and carcinoma.

We have compared the postoperative course of patients undergoing right colonic resections for both carcinoma and inflammatory bowel disease (IBD). The records of 100 patients with IBD (average age 29) and 85 patients with carcinoma (average age 71) were reviewed. There was a mortality rate of 2.4% in the carcinoma group and 0% in the IBD group. Complications in the carcinoma group (36%) were mainly due to systemic problems, while in the IBD group the complications (28%) were mainly abdominal. The postoperative stay for both groups was similar with a mean stay of 15 days. The high rate of abdominal complications in the IBD was attributed to the increased incidence of infection in this group while the high rate of systemic complications in the carcinoma group was thought to be due to the old age of this group. The relatively high percentage of complications in both groups led to a generally prolonged hospital stay.

Adolescent↗
PubMed2002

Audit of intraoperative and early postoperative complications after introduction of mesorectal excision for rectal cancer.

OBJECTIVE: To compare complication rates after rectal resection using a conventional surgical technique (1983-1992) and mesorectal excision (1993-2000), and to find out whether the rate of complications changed with time after the introduction of mesorectal excision. DESIGN: Prospective, observational study. SETTING: University hospital, Norway. PATIENTS: All patients who had rectal resections for cancer in the period 1983-2000. INTERVENTIONS: In the conventional surgery period 217, and in the mesorectal excision period 176, patients had rectal resections. The mesorectal excision period was split in two, the early and the late mesorectal excision period, 88 rectal resections being performed in each period. Total mesorectal excision was done in 118 patients, and partial mesorectal excision in 58. MAIN OUTCOME MEASURES: Major surgical complications in both periods; intraoperative bleeding, transfusions during the hospital stay, and cardiovascular complications in the mesorectal excision period. RESULTS: 23/217 (11%) developed major surgical complications in the conventional surgery period, compared with 17/88 (19%) in the early mesorectal excision period (p = 0.04). This was caused by an increased incidence of anastomotic leaks after low anterior resection, being 11/122 (9%) in the conventional surgery period and 12/52 (23%) in the early mesorectal excision period (p = 0.01). The incidence of anastomotic leaks declined to 5/61 (8%) in the late mesorectal excision period (p = 0.03). Multiple regression analysis identified a low anastomosis, major bleeding, and age over 75 years as significant risk factors for the development of anastomotic leaks. Major intraoperative bleeding occurred in 36/84 (43%) of the patients in the early and 22/82 (27%) in the late mesorectal period (p = 0.04). Blood transfusions were given to 61/84 (74%) in the early mesorectal period and 41/82 (50%) in the late period (p < 0.01). CONCLUSIONS: The incidence of surgical complications increased significantly after the introduction of mesorectal excision, but declined with time.

Adult↗