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Surgical Endoscopy

Published in:

01-09-2009

Modifiable surgical and anesthesiologic risk factors for the development of cardiac and pulmonary complications after laparoscopic colorectal surgery

Authors: Th. C. Böttger, S. Hermeneit, M. Müller, A. Terzic, A. Rodehorst, L. Elad, M. Schamberger

Published in: Surgical Endoscopy | Issue 9/2009

Abstract

Background

In contrast to patient-related risk factors, which are difficult to influence, factors relating to surgery and anesthesia that can be influenced have hardly been investigated. This study aimed to identify such risk factors.

Methods

Pre- and intraoperative surgical and anesthesiologic factors of 388 colonic and 112 rectal procedures performed by a single surgeon within 50 months were recorded and analyzed for correlations with postoperative complications requiring treatment.

Results

Higher American Society of Anesthesiology (ASA) emergency interventions and intraoperative factors (bleeding, long operating time) had an elevated risk for general complications. Furthermore, patients benefited from the clinical experience of the anesthesiologist, especially in terms of emergency procedures, hemorrhagic complications, and a longer operating time.

Conclusions

Standardization of the surgical technique, “bloodless” surgery, standardization of intraoperative monitoring, and the use of board-certified anesthesiologists for high-risk cases, emergency procedures, and patients with high ASA stages are able to reduce postoperative morbidity.

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Title: Modifiable surgical and anesthesiologic risk factors for the development of cardiac and pulmonary complications after laparoscopic colorectal surgery
Authors: Th. C. Böttger
S. Hermeneit
M. Müller
A. Terzic
A. Rodehorst
L. Elad
M. Schamberger
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-9916-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Modifiable surgical and anesthesiologic risk factors for the development of cardiac and pulmonary complications after laparoscopic colorectal surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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