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Published in:

01-11-2011

Risk Factor Analysis of Postoperative Complications After Robotic Rectal Cancer Surgery

Authors: Jeonghyun Kang, Byung Soh Min, Yoon Ah Park, Hyuk Hur, Seung Hyuk Baik, Nam Kyu Kim, Seung Kook Sohn, Kang Young Lee

Published in: World Journal of Surgery | Issue 11/2011

Abstract

Background

The robotic system has been adopted as the new modality for minimally invasive surgery for rectal cancer. However, analysis of risk factors for complications after robotic rectal cancer surgery (RRS) has been limited. This study aimed to identify the risk factors for complications after RRS.

Methods

The records of 389 consecutive patients who underwent RRS between June 2006 and October 2010 were retrieved from our prospectively collected database.

Results

The overall complication rate was 19%. The most common complication was anastomotic leakage (7.0%), followed by voiding difficulty, intrapelvic abscess, and ileus/obstruction. Multivariate analysis revealed the following as risk factors for postoperative complications: male gender, history of previous abdominal surgery, and lower tumor level (hazard ratio [HR] = 1.8, 95% confidence interval [CI] = 1.0–3.1, p = 0.041; HR = 2.3; 95% CI = 1.2–4.6, p = 0.012; and HR = 1.9, 95% CI = 1.1–3.3, p = 0.020, respectively). With regard to pelvic septic complications, lower tumor level, large tumor size, and preoperative chemoradiation remained variables that retained their statistical significance in multivariate analysis (HR = 2.6, 95% CI = 1.1–6.1, p = 0.029; HR = 2.7, 95% CI = 1.1–6.1, p = 0.017; HR = 2.9, 95% CI = 1.3–6.5, p = 0.007, respectively). The rate of postoperative complications was not influenced by the difference in laparoscopic surgery experience or the technique of robotic surgery.

Conclusion

Surgeons should be more cautious with these patient factors to optimize the benefits of robotic rectal resection.

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Title: Risk Factor Analysis of Postoperative Complications After Robotic Rectal Cancer Surgery
Authors: Jeonghyun Kang
Byung Soh Min
Yoon Ah Park
Hyuk Hur
Seung Hyuk Baik
Nam Kyu Kim
Seung Kook Sohn
Kang Young Lee
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 11/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-011-1270-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk Factor Analysis of Postoperative Complications After Robotic Rectal Cancer Surgery

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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