[Colorectal carcinoma. Which factors are decisive for development of postoperative complications?].
This retrospective study analyses the prognostic effect of different factors on morbidity and lethality based on selected, primarily resecting colon carcinoma operations (n = 222). In all, 12.2% of our operations were performed under emergency conditions. The total complication rate was 31.5%, the lethality rate 7.7%. The left hemicolectomy cases showed the highest morbidity (48.4%), the rectum amputation the highest lethality (11.8%). Tumour staging tumour differentiation and the sex of the patient showed no significant influence on the postoperative morbidity and lethality. However, a correlation was proved between the age of the patient, tumour localisation, co-morbidity, duration of operation and the conditions under which the operation was performed (emergency or elective), on the one hand, and morbidity and lethality on the other.
Tonus
C
C
Allgemein-, Gefäss- und Thoraxchirurgie, Städtische Kliniken Offenbach, Offenbach am Main.
Keller
O
O
Kropp
R
R
Nier
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D011379:Prognosis; D012007:Rectum / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate
Kolorektales Karzinom. Welche Faktoren sind für das Auftreten postoperativer Komplikationen entscheidend?