Patient factors predisposing to complications following laparoscopic surgery for colorectal cancers.
The aim of this study was to clarify patient factors contributing to complications after laparoscopic surgery for colorectal cancers. A total of 333 colorectal cancer patients who underwent laparoscopic colorectal resection between January 2007 and December 2012 were enrolled. The association between patient factors and the incidence of complications were analyzed. Postoperative complications were divided into 2 categories: infectious complications and noninfectious complications. The overall complication rate was 13% and mortality rate 0%. Multivariate analysis showed that body mass index >25 kg/m [odds ratio (OR)=3.02, P=0.0254] and tumor location (right colon cancer/rectal cancer: OR=0.11, P=0.0083) were risk factors for infectious complications; in addition, male sex (OR=3.91, P=0.0102) and cancer stage (stage 2/stage 4: OR=0.17, P=0.0247) were risk factors for noninfectious complications. This study shows that different patient factors are associated with the risk of different types of complications.
*Department of Surgical Oncology, The University of Tokyo Hospital, Hongo, Bunkyo-ku †Department of Surgery, Teikyo University, Kaga, Itabashi-ku, Tokyo, Japan.
Soichiro
S
Ishihara
Keiji
K
Matsuda
Toshiaki
T
Tanaka
Junichiro
J
Tanaka
Tomomichi
T
Kiyomatsu
Kazushige
K
Kawai
Hiroaki
H
Nozawa
Shinsuke
S
Kazama
Takamitsu
T
Kanazawa
Hironori
H
Yamaguchi
Eiji
E
Sunami
Joji
J
Kitayama
Yojiro
Y
Hashiguchi
Toshiaki
T
Watanabe
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D055815:Young Adult