Effect of hemodialysis on short-term outcomes after colon cancer surgery

• Published in: PloS one Vol. 17; no. 1; p. e0262531
• Main Authors: Shiraishi, Toshio, Tominaga, Tetsuro, Nonaka, Takashi, Hashimoto, Shintaro, Hamada, Kiyoaki, Araki, Masato, Sumida, Yorihisa, Takeshita, Hiroaki, Fukuoka, Hidetoshi, Wada, Hideo, To, Kazuo, Yamashita, Mariko, Tanaka, Kenji, Sawai, Terumitsu, Nagayasu, Takeshi
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 12.01.2022; Public Library of Science (PLoS)
• Subjects: Abdomen; Adult; Aged; Aged, 80 and over; Biology and Life Sciences; Body mass index; Cancer surgery; Cancer therapies; Cardiovascular disease; Care and treatment; Colon; Colon cancer; Colonic Neoplasms - pathology; Colonic Neoplasms - surgery; Colorectal cancer; Complications; Complications and side effects; Diabetes; Digestive System Surgical Procedures - mortality; Elective Surgical Procedures - mortality; Female; Follow-Up Studies; Hemodialysis; Hospitals; Humans; Hypertension; Inflammatory bowel disease; Japan - epidemiology; Kidney diseases; Lymphatic system; Male; Medical technology; Medicine and Health Sciences; Middle Aged; Multivariate analysis; Oncology; Patient outcomes; Patients; Pneumonia; Postoperative; Postoperative Complications - epidemiology; Postoperative Complications - mortality; Prognosis; Renal Dialysis - statistics & numerical data; Retrospective Studies; Risk Factors; Surgery; Survival Rate; Thrombosis; University graduates; Urinalysis; Urinary tract diseases; Urinary tract infections; Urogenital system; Variance analysis; Young Adult; Japan
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0262531

Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384-7.5730; p = 0.026). Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients.