Postoperative complication rates between Crohn's disease and Colorectal cancer patients after ileocolic resections: a comparative study

Journal of Coloproctology - Tập 37 - Trang 290-294 - 2017
Larissa Boaron1, Luiza Facchin1, Mariella Bau1, Patricia Zacharias1, Diogo Ribeiro1, Eron Fábio Miranda1, Ivan Folchini de Barcelos1, Renato Vismara Ropelato1, Álvaro Steckert Filho2, José Donizeti de Meira Junior3, Ligia Sassaki3, Rogério Saad-Hossne3, Paulo Gustavo Kotze1
1Pontifícia Universidade Católica do Paraná (PUCPR), Hospital Universitário Cajuru, Serviço de Coloproctologia (SeCoHUC), Curitiba, PR, Brazil
2Gastro Medical Center, Florianópolis, SC, Brazil
3Universidade Estadual Paulista (UNESP), Ambulatório de Doenças Inflamatórias Intestinais, Botucatu, SP, Brazil

Tóm tắt

Abstract Introduction Ileocolic resection (ICR) is the most common surgical procedure performed for Crohn's disease (CD). Similarly, right-sided Colorectal cancer (CRC) is treated by the same operation. The primary aim of this study was to analyze and compare the frequency and profile of early postoperative complications of ICR between patients with CD and CRC. Methods Retrospective and observational study with patients submitted to ICR from two Brazilian tertiary referral units in colorectal surgery. We included patients with diagnosis of CD or CRC, treated with ICR, at any stage of follow-up. Variables analyzed: age at surgery, gender, diagnosis, surgical approach (open or laparoscopy), type of anastomosis (hand-sewn/stapled; end-to-end/side-to-side), presence and type of early postoperative complications (30 days) and mortality, among others. Results 109 patients were included, 73 with CD (67%) and 36 with CRC (33%). CD patients were younger (42.44 ± 12.73 years vs. 66.14 ± 11.02 years in the CRC groups, p < 0.0001) and had more previous resections (20 ± 27.4 in CD and 0 in CCR, p = 0.001). There were no significant differences between the groups in terms of overall early postoperative complications [17/73 (23.3%) in the CD and 5/36 (13.9%) in the CRC groups (p = 0.250)]. There was no significant difference between the groups in relation to anastomotic leakage (p = 0.185), surgical site infections (p = 0.883), other complications (0.829) and deaths (p = 0.069). Conclusions There was no significant difference in early postoperative complications in patients with CD or CRC submitted to ICR.

Tài liệu tham khảo

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Journal of Coloproctology

Tập 37

290-294

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