Risk factors in reoperations in colorectal surgery
Journal Title: Polish Journal of Surgery - Year 2019, Vol 91, Issue 4
Abstract
Background: Reoperations in colorectal surgery are usually a consequence of major surgical complications. Recently, the rate of reoperation has been proposed as a marker of surgical performance. Yet, the incidence of re-intervention varies significantly in literature, ranging from 5.2% to 13%. Therefore, in this study we investigated 30-day reoperation rates and made an attempt to identify risk factors of re-intervention following colorectal resection at our institution. Methods: This is a retrospective study of patients who had undergone colorectal resection at a single institution from 2013 to 2017. Univariate and multivariate analysis of predicting factors were performed. Results: Out of 464 patients included, 51 required reoperations (11%). The most common causes of reoperations were anastomotic leakage, postoperative bleeding, and wound dehiscence. In univariate analysis the age of the patient and location of the tumor were related to an increased rate of reoperation. In multivariate analysis patients older than 75 (OR = 2.1; 95%CI = 1.1–3.9) and tumors sited in the rectum (OR = 2.66; 95%CI = 1.4–5) were associated with an increased risk of re-intervention. Patients who required postoperative re-intervention stayed in hospital longer (14 vs. 6 days, P < 0.0001) and had higher mortality (9.8% vs. 1.2%, P = 0.002). Conclusions: Our study shows that reoperation rates that follow colorectal surgery are frequently undervalued. In our series, 11% of patients required an unplanned return to the operative room. Patient’s age and rectal tumors were the two independent factors that affect the rate of reoperation. Novel aspect: Data concerning reoperation rates in colorectal surgery is varying and most reports have shown the incidence of re-intervention to be as low as 5–7%. Our study demonstrates that reoperations after curative surgery for colorectal cancer are more frequent and may occur in over a tenth of total patients operated on.<br/><br/>
Authors and Affiliations
Marek Zawadzki, Małgorzata Krzystek-Korpacka, Marek Rząca, Roman Czarnecki, Zbigniew Obuszko, Magdalena Sitarska, Wojciech Witkiewicz
Keywords
Related Articles
- EP ID EP560077
- DOI 10.5604/01.3001.0013.1922
- Views 98
- Downloads 0
Coccygodynia – patogeneza, diagnostyka i terapia. Przegląd piśmiennictwa
Coccygodynia to problem dotyczący 1% populacji cierpiącej z powodu dolegliwości narządu ruchu. Ból ten kojarzony jest często przez pacjentów z urazem, upadkiem na kość ogonową, długą jazdą na rowerze, czy też – u kobiet...
Risk of complications and 30-day mortality after laparoscopic and open appendectomy in a Danish region, 1998-2007; a population-based study of 18,426 patients
Acute appendicitis is the most common abdominal surgical emergency, but population-based data on the risk of complications after laparoscopic appendectomy (LA) and open appendectomy (OA) are scarce. The aim of the study...
Multifocal Extra-Adrenal Paraganglioma – Case Report
Paraganglioma is a rare neoplasm originating from extra-adrenal pheochromocytes of the sympathetic and parasympathetic nervous system. It is usually benign and the treatment method of choice is a complete resection of th...
Uraz skalpacyjny podudzia – znaczenie terapii wspomagających leczenie chirurgiczne: terapii podciśnieniowej oraz hiperbarii tlenowej
Następstwa urazu skalpacyjnego stanowią trudne terapeutycznie wyzwanie obejmujące zakres działań zarówno chirurgii urazowej, jak i chirurgii plastycznej. Uszkodzenie, jakim jest uraz skalpacyjny, obejmuje odwarstwienie s...
Influence of Atheromatous Lesions in the Ilio-Femoral Segment on the Occurrence of Stentgraft Thrombosis After Endovascular Treatment of an Abdominal Aortic Aneurysm