Thirty days post-operative mortality after surgery for colorectal cancer: a descriptive study
The goal of surgery for colorectal cancer is cure. Unfortunately post-operative mortality occurs. This study aims to identify co-morbidity and causes of mortality in the post-operative period in relation to direct technical complications of surgery. All consecutive patients who underwent surgery for...
Saved in:
Published in | Journal of gastrointestinal oncology Vol. 6; no. 6; pp. 613 - 617 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
China
AME Publishing Company
01.12.2015
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | The goal of surgery for colorectal cancer is cure. Unfortunately post-operative mortality occurs. This study aims to identify co-morbidity and causes of mortality in the post-operative period in relation to direct technical complications of surgery.
All consecutive patients who underwent surgery for colorectal cancer were included. Co-morbidity was determined via the Charlson co-morbidity score. The post-operative course was studied and cause of death within 30 days was determined. Patients were divided in two groups: group 1 died within 30 days after surgery and group 2 survived for longer than 30 days.
Twenty three out of 333 patients (6.9%) with colon cancer and 6 out of 112 (5.3%) with rectal cancer died in the post-operative period. Patients in group 1 were significantly older than patients in group 2 (P<0.001). Patients in group 1 with colon cancer also significantly had more often a higher stage of cancer (P=0.03). The Charlson co-morbidity score for patients with colon cancer in group 1 was mean 5.17 (SD 1.57, range, 1-8), and for rectal cancer mean 4.83 (SD 2.32, range, 2-7). There was no difference in Charlson co-morbidity score when patients from groups 1 and 2 were compared. In group 1, 13 (44%) died as a direct consequence of technical surgical complications. Sixteen patients died due to complications because of pre-existing co-morbidity.
Post-operative mortality very often is the direct result of pre-existing co-morbidity and not always the direct result of the surgical procedure. |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Contributions: (I) Conception and design: R Loffeld; (II) Financial support: None; (III) Administrative support: None; (IV) Provision of study materials or patients: FC den Boer; (V) Collection and assembly of data: EE van Eeghen; (VI) Data analysis and interpretation: R Loffeld, EE van Eeghen; (VII) Manuscript writing: All authors; (VIII) Final approval of manuscript: All authors. |
ISSN: | 2078-6891 2219-679X |
DOI: | 10.3978/j.issn.2078-6891.2015.079 |