Surgical Outcomes and Risk Factors in Patients Who Underwent Emergency Colorectal Surgery
Annals of Coloproctology
;
: 239-244, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-47840
ABSTRACT
PURPOSE:
Emergency colorectal surgery has high rates of complications and mortality because of incomplete bowel preparation and bacterial contamination. The authors aimed to evaluate the surgical outcomes and the risk factors for the mortality and the complication rates of patients who underwent emergency surgery to treat colorectal diseases.METHODS:
This is a prospective study from January 2014 to April 2016, and the results are based on a retrospective analysis of the clinical results for patients who underwent emergency colorectal surgery at Chosun University Hospital.RESULTS:
A total of 99 patients underwent emergency colorectal surgery during the study period. The most frequent indication of surgery was perforation (75.8%). The causes of disease were colorectal cancer (19.2%), complicated diverticulitis (21.2%), and ischemia (27.2%). There were 27 mortalities (27.3%). The major morbidity was 39.5%. Preoperative hypotension and perioperative blood transfusion were independent risk factors for both morbidity and mortality.CONCLUSION:
These results revealed that emergency colorectal surgeries are associated with significant morbidity and mortality. Furthermore, the independent risk factors for both morbidity and mortality in such patiients were preoperative hypotension and perioperative transfusion.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Transfusão de Sangue
/
Neoplasias Colorretais
/
Estudos Prospectivos
/
Estudos Retrospectivos
/
Fatores de Risco
/
Mortalidade
/
Cirurgia Colorretal
/
Diverticulite
/
Emergências
/
Hipotensão
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Annals of Coloproctology
Ano de publicação:
2017
Tipo de documento:
Artigo
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