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Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center
BACKGROUND: As a common gastrointestinal malignancy, colorectal cancer (CRC) poses a serious health threat globally. Robotic surgery is one of the future trends in surgical treatment of CRC. Robotic surgery has several technical advantages over laparoscopic surgery, including 3D visualization, elimi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727186/ https://www.ncbi.nlm.nih.gov/pubmed/35070071 http://dx.doi.org/10.4240/wjgs.v13.i12.1660 |
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author | Huang, Zhi-Xiang Zhou, Zhen Shi, Hao-Ran Li, Tai-Yuan Ye, Shan-Ping |
author_facet | Huang, Zhi-Xiang Zhou, Zhen Shi, Hao-Ran Li, Tai-Yuan Ye, Shan-Ping |
author_sort | Huang, Zhi-Xiang |
collection | PubMed |
description | BACKGROUND: As a common gastrointestinal malignancy, colorectal cancer (CRC) poses a serious health threat globally. Robotic surgery is one of the future trends in surgical treatment of CRC. Robotic surgery has several technical advantages over laparoscopic surgery, including 3D visualization, elimination of the fulcrum effect, and better ergonomic positioning, which together lead to better surgical outcomes and faster recovery. However, analysis of independent factors of postoperative complications after robotic surgery is still insufficient. AIM: To analyze the incidence and risk factors for postoperative complications after robotic surgery in patients with CRC. METHODS: In total, 1040 patients who had undergone robotic surgical resection for CRC between May 2015 and May 2020 were analyzed retrospectively. Postoperative complications were categorized according to the Clavien-Dindo (C-D) classification, and possible risk factors were evaluated. RESULTS: Among 1040 patients who had undergone robotic surgery for CRC, the overall, severe, local, and systemic complication rates were 12.2%, 2.4%, 8.8%, and 3.5%, respectively. Multivariate analysis revealed that multiple organ resection (P < 0.001) and level III American Society of Anesthesiologists (ASA) score (P = 0.006) were independent risk factors for overall complications. Multivariate analysis identified multiple organ resection (P < 0.001) and comorbidities (P = 0.029) as independent risk factors for severe complications (C-D grade III or higher). Regarding local complications, multiple organ resection (P = 0.002) and multiple bowel resection (P = 0.027) were independent risk factors. Multiple organ resection (P < 0.001) and level III ASA score (P = 0.007) were independent risk factors for systemic complications. Additionally, sigmoid colectomy had a lower incidence of overall complications (6.4%; P = 0.006) and local complications (4.7%; P = 0.028) than other types of colorectal surgery. CONCLUSION: Multiple organ resection, level III ASA score, comorbidities, and multiple bowel resection were risk factors for postoperative complications, with multiple organ resection being the most likely. |
format | Online Article Text |
id | pubmed-8727186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-87271862022-01-20 Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center Huang, Zhi-Xiang Zhou, Zhen Shi, Hao-Ran Li, Tai-Yuan Ye, Shan-Ping World J Gastrointest Surg Retrospective Study BACKGROUND: As a common gastrointestinal malignancy, colorectal cancer (CRC) poses a serious health threat globally. Robotic surgery is one of the future trends in surgical treatment of CRC. Robotic surgery has several technical advantages over laparoscopic surgery, including 3D visualization, elimination of the fulcrum effect, and better ergonomic positioning, which together lead to better surgical outcomes and faster recovery. However, analysis of independent factors of postoperative complications after robotic surgery is still insufficient. AIM: To analyze the incidence and risk factors for postoperative complications after robotic surgery in patients with CRC. METHODS: In total, 1040 patients who had undergone robotic surgical resection for CRC between May 2015 and May 2020 were analyzed retrospectively. Postoperative complications were categorized according to the Clavien-Dindo (C-D) classification, and possible risk factors were evaluated. RESULTS: Among 1040 patients who had undergone robotic surgery for CRC, the overall, severe, local, and systemic complication rates were 12.2%, 2.4%, 8.8%, and 3.5%, respectively. Multivariate analysis revealed that multiple organ resection (P < 0.001) and level III American Society of Anesthesiologists (ASA) score (P = 0.006) were independent risk factors for overall complications. Multivariate analysis identified multiple organ resection (P < 0.001) and comorbidities (P = 0.029) as independent risk factors for severe complications (C-D grade III or higher). Regarding local complications, multiple organ resection (P = 0.002) and multiple bowel resection (P = 0.027) were independent risk factors. Multiple organ resection (P < 0.001) and level III ASA score (P = 0.007) were independent risk factors for systemic complications. Additionally, sigmoid colectomy had a lower incidence of overall complications (6.4%; P = 0.006) and local complications (4.7%; P = 0.028) than other types of colorectal surgery. CONCLUSION: Multiple organ resection, level III ASA score, comorbidities, and multiple bowel resection were risk factors for postoperative complications, with multiple organ resection being the most likely. Baishideng Publishing Group Inc 2021-12-27 2021-12-27 /pmc/articles/PMC8727186/ /pubmed/35070071 http://dx.doi.org/10.4240/wjgs.v13.i12.1660 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Retrospective Study Huang, Zhi-Xiang Zhou, Zhen Shi, Hao-Ran Li, Tai-Yuan Ye, Shan-Ping Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title | Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title_full | Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title_fullStr | Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title_full_unstemmed | Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title_short | Postoperative complications after robotic resection of colorectal cancer: An analysis based on 5-year experience at a large-scale center |
title_sort | postoperative complications after robotic resection of colorectal cancer: an analysis based on 5-year experience at a large-scale center |
topic | Retrospective Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727186/ https://www.ncbi.nlm.nih.gov/pubmed/35070071 http://dx.doi.org/10.4240/wjgs.v13.i12.1660 |
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