title: [Fluid therapy and surgical outcomes after low anterior resection].
abstract: BACKGROUND
  Fluid therapy is a fundamental component of surgical care. Recent data regarding fluid restriction has shown an association with improved outcomes. The aim of this study is to determine whether the use of restrictive approaches in perioperative fluid administration improves patient outcomes following low anterior resection.
  
  
  METHODS
  89 patients undergoing low anterior resection included in this study were divided by the median 14.9 mL/kg/h into group A (7.4-14.7 mL/kg/h) and group B (14.9-36.8 mL/kg/h) within intraoperative fluid administration, and by the median 3.3 mL/kg/h into group C (2.0-3.3 mL/kg/h) and group D (3.3-6.9 mL/kg/h) for fluid administration on the day of surgery. The main outcomes measured were cardiac and pulmonary complications, the incidence of anastomotic leak and wound infections, gastrointestinal function recovery, laboratory inflammatory markers and the length of hospital stay.
  
  
  RESULTS
  The restricted perioperative fluid regimen significantly reduced the risk of pleural effusion and anastomotic leak in patients after low anterior resection. The overall incidence of anastomotic leak was 9.0%. Another significant risk factor for anastomotic leak was neoadjuvant radiochemotherapy (15.9% vs. 2.2%, p=0.03).
  
  
  CONCLUSIONS
  The restricted perioperative fluid regimen reduces postoperative morbidity in patients after low anterior resection. Hospital stay remains unchanged.
authors.forename: P
authors.initials: P
authors.lastname: Kocián
authors.forename: J
authors.initials: J
authors.lastname: Neumann
authors.forename: P
authors.initials: P
authors.lastname: Majtan
authors.forename: J
authors.initials: J
authors.lastname: Hoch
mesh_terms: D000368:Aged; D013505:Digestive System Surgical Procedures; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D016896:Treatment Outcome