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

BACKGROUND: 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. METHODS: This multicenter retrospective study included 1372 patients who underw...

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Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8754322/
https://www.ncbi.nlm.nih.gov/pubmed/35020769
http://dx.doi.org/10.1371/journal.pone.0262531
Descripción
Sumario:BACKGROUND: 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. METHODS: This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. RESULTS: 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). CONCLUSION: 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.