[Prognostic significance of postoperative septic complications in surgery of rectal carcinoma]. / Significato prognostico delle complicanze settiche postoperatorie nella chirurgia del carcinoma rettale.
Minerva Chir
; 51(6): 447-50, 1996 Jun.
Article
in It
| MEDLINE
| ID: mdl-8992394
ABSTRACT
AIM:
To assess whether there is a correlation between the onset of postoperative sepsis and the 5-years survival rate in patients undergoing surgery for rectal cancer. EXPERIMENTALDESIGN:
A retrospective study of all patients, undergoing rectal cancer surgery during the period January 1981-December 1987. PLACE General Surgery Unit, Hospital Arnau de Vilanova. PATIENTS All patients operated with Duke's stage B and C colorectal neoplasms, excluding cases with postoperative complications not directly correlated to surgery pneumonia, thromboblebitis, urinary infection or fever of unknown origin.FINDINGS:
Postsurgical complications distinguished as minor (wall abscess) or major (anastomotic dehiscence, peritoneal abscess). 5-year survival rate.RESULTS:
The actuarial 5-year survival rate of patients with major septic complications was significantly lower (p < 0.05) than that in noncomplicated cases. No difference was observed in the survival of patients with and without minor septic complications.CONCLUSION:
Major septic complications secondary to colorectal surgery are still a threat in spite of improved techniques and antibiotic prophylaxis, and negatively influence the long-term survival rate.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Rectal Neoplasms
/
Sepsis
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
It
Journal:
Minerva Chir
Year:
1996
Document type:
Article