Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica
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| Format: | Artículo científico |
| Langue: | es |
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Sociedad de Cirujanos de Chile
2013
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| _version_ | 1876466138149289984 |
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| author | JOSÉ GELLONA V. |
| author_facet | JOSÉ GELLONA V. |
| contents | Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica JOSÉ GELLONA V. RODRIGO MIGUIELES C. DANIELLA ESPÍNOLA M. GONZALO URREJOLA S. MARÍA E. MOLINA P. GONZALO INOSTROZA L. JOSÉ M. ZÚÑIGA A. TOMÁS LARACH K. FELIPE BELLOLIO R. ÁLVARO ZÚÑIGA D. Medicina morbidity Colorectal laparoscopic risk factors Introduction: Different factors have been associated with increased risk of complications in laparosco - pic colorectal surgery. The aim of this study is to identify these factors in our series. Method: Retrospective cohort. All patients undergoing laparoscopic colorectal surgery between January 2000 and June 2012 were included. Patients who had postoperative complications until 30 days postoperatively were identified and analyzed by univariate and multivariate logistic regression. A p value less than 0.2 was used was used as a criteria for entry into the multivariate model. Results: The series consists of 848 patients with a median age of 58 ± 22 years. Main surgical indications were: neoplasia (42.3%), diverticular disease (27.8%) and infla - mmatory bowel disease (8.8%). Most frecuently-performed procedures were: sigmoidectomy (39.5%), ante - rior resection of the rectum (13.4%), right hemicolectomy (13%) and total colectomy (8.7%). On univariate analysis, factors associated with complications were age over 75 years (OR 1.82, 95% CI 1.02 to 3.25) and red blood cell transfusion (OR 8.47, 95% CI 3.69 to 19.43). On multivariate analysis, red blood cell transfusion (OR 7.9 95% CI 1.78 to 35.88) and ASA III or IV (OR 3.26 95% CI 1.01 to 17.23) were independent factors associated with postoperative complications. Conclusion : Intraoperative red blood cell transfusion and ASA score III or IV are independent risk factors associated with complications in laparoscopic colorectal surgery. 2013 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531962008 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.5 Vol.65 |
| format | Artículo científico |
| id | redalyc_345531962008 |
| institution | Redalyc |
| language | es |
| publishDate | 2013 |
| publisher | Sociedad de Cirujanos de Chile |
| spellingShingle | Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica JOSÉ GELLONA V. Medicina morbidity Colorectal laparoscopic risk factors Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica JOSÉ GELLONA V. RODRIGO MIGUIELES C. DANIELLA ESPÍNOLA M. GONZALO URREJOLA S. MARÍA E. MOLINA P. GONZALO INOSTROZA L. JOSÉ M. ZÚÑIGA A. TOMÁS LARACH K. FELIPE BELLOLIO R. ÁLVARO ZÚÑIGA D. Medicina morbidity Colorectal laparoscopic risk factors Introduction: Different factors have been associated with increased risk of complications in laparosco - pic colorectal surgery. The aim of this study is to identify these factors in our series. Method: Retrospective cohort. All patients undergoing laparoscopic colorectal surgery between January 2000 and June 2012 were included. Patients who had postoperative complications until 30 days postoperatively were identified and analyzed by univariate and multivariate logistic regression. A p value less than 0.2 was used was used as a criteria for entry into the multivariate model. Results: The series consists of 848 patients with a median age of 58 ± 22 years. Main surgical indications were: neoplasia (42.3%), diverticular disease (27.8%) and infla - mmatory bowel disease (8.8%). Most frecuently-performed procedures were: sigmoidectomy (39.5%), ante - rior resection of the rectum (13.4%), right hemicolectomy (13%) and total colectomy (8.7%). On univariate analysis, factors associated with complications were age over 75 years (OR 1.82, 95% CI 1.02 to 3.25) and red blood cell transfusion (OR 8.47, 95% CI 3.69 to 19.43). On multivariate analysis, red blood cell transfusion (OR 7.9 95% CI 1.78 to 35.88) and ASA III or IV (OR 3.26 95% CI 1.01 to 17.23) were independent factors associated with postoperative complications. Conclusion : Intraoperative red blood cell transfusion and ASA score III or IV are independent risk factors associated with complications in laparoscopic colorectal surgery. 2013 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531962008 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.5 Vol.65 |
| title | Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica |
| topic | Medicina morbidity Colorectal laparoscopic risk factors |
| url | https://www.redalyc.org/articulo.oa?id=345531962008 |