ORIGINAL PAPER
Analysis of complications after surgery for colorectal cancer with particular consideration to anastomotic leakage
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Submission date: 2015-06-02
Final revision date: 2015-06-08
Acceptance date: 2015-06-08
Publication date: 2015-07-13
Medical Studies 2015;31(2):82-89
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ABSTRACT
Introduction: Anastomotic leakage is among the most common and most serious complications after colorectal surgery. It may lead to the necessity of repeating the procedure, prolongation of hospitalisation period, and an increase in the mortality rate.
Aim of the research: The objective of the study was an analysis of complications, with particular consideration paid to colorectal anastomotic leakage, in patients who had undergone surgery due to colorectal cancer at the Regional Polyclinic Hospital in Kielce, during 2005–2011.
Material and methods: Into the study group were enrolled 102 patients with colorectal cancer, who had undergone surgery in the Clinical Ward for General, Oncologic, and Endocrine Surgery, at the Regional Polyclinic Hospital in Kielce.
Results: The most frequent complication related to the surgery was superficial surgical site infection, which occurred in 9 patients, i.e. 8.8%. Anastomotic leakage was observed in 3 patients per 46 surgeries with construction of colorectal anastomosis, i.e. 6.5%, colostomy complications were noted in 3 patients per 56 procedures with formation of a colostomy, i.e. 5.4%.
Conclusions: Anastomotic leakage is a serious complication after colorectal surgery.
REFERENCES (16)
1.
Głuszek S, Korczak M, Kot M, et al. Przetoki przewodu pokarmowego – problem wciąż aktualny. Pol Przegl Chir 2011; 83: 53-69.
2.
Dziki A, Wallner G. Wytyczne diagnostyczno-terapeutyczne w raku jelita grubego. Stowarzyszenie Popierania Rozwoju Proktologii 2007.
3.
Szczepkowski M, Banasiewicz T, Krokowicz P, et al. Polski konsensus w sprawie stomii protekcyjnej. Pol Przegl Chir 2014; 86: 717-41.
4.
Didkowska J, Zatoński W. Krajowy Rejestr Nowotworów. Rada Naukowa przy Ministrze Zdrowia Warszawa, 16 March 2011.
5.
Borie F, Daures J, Millat B, et al. Influence of environment and healthcare structures on the survival of patients with colorectal cancer: a French population-based study. J Surg Oncol 2002; 80: 137-42.
6.
Grzebieniak Z, Szynglarewicz B. Czynniki prognostyczne w raku okrężnicy i odbytnicy. Prz Lek 2004; 61: 43-53.
7.
Phillips R, Hittinger R, Blesovsky L, et al. Local recurrence following “curative” surgery for large bowel cancer. The overall picture. Br J Surg 1984; 71: 12-6.
8.
McArdle C, Hole D. Outcome following surgery for colorectal cancer: analysis by hospital after adjustment for case-mix and deprivation. Br J Cancer 2002; 86: 331-5.
9.
Smith J, King P, Lane R, et al. Evidence of the effect of “specialization” on the management, surgical outcome and survival from colorectal cancer in Wessex. Br J Surg 2003; 90: 583-92.
10.
Runkel N, Schlag P, Schwarz V, et al. Outcome after emergency surgery for cancer of the large intestine. Br J Surg 1991; 78: 183-8.
11.
Gui J, Wang L. Anastomotic leakage mid-low rectal cancer patients following pre-radiated and total mesorectum excision. Ann Oncol 2008; 19: 24.
12.
Cong ZJ, Fu CG, Wang HT, et al. Influencing factors of symptomatic anastomotic leakage after anterior resection of the rectum cancer. World J Surgery 2009; 33: 1292-7.
13.
Pata G, D’Hoor A, Fieuws S, Pennickx F. Mortality risk analysis following routine vs. selective defunctioning stoma formation after total mesorectal excision for rectal cancer. Col Dis 2009; 11: 797-805.
14.
Cong ZJ, Hu LH, Bian ZQ, et al. Systematic review of anastomotic leakage rate according to an international grading system following anterior resection for rectal cancer. PLoSOne 2013; 8: e75519.
15.
Matthiesen P, Hallbook O, Rutegaard J, et al. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer. Ann Surg 2007; 246: 207e14.
16.
Wiraszka G, Kielar M, Stępień R. Ocena zagrożenia rakiem jelita grubego w Polsce na podstawie analizy współczynników epidemiologicznych. Studia Medyczne 2015; 31: 66-74.