Risk factor analysis of postoperative complications after robotic rectal cancer surgery

Jeonghyun Kang, Byung Soh Min, Yoon Ah Park, Hyuk Hur, Seung Hyuk Baik, Namkyu Kim, Seung Kook Sohn, Kang Young Lee

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background The robotic system has been adopted as the new modality for minimally invasive surgery for rectalcancer. However, analysis of risk factors for complicationsafter robotic rectal cancer surgery (RRS) has been limited.This study aimed to identify the risk factors for complicationsafter RRS.Methods The records of 389 consecutive patients whounderwent RRS between June 2006 and October 2010 wereretrieved from our prospectively collected database.Results The overall complication rate was 19%. The mostcommon complicationwas anastomotic leakage (7.0%),followed by voiding difficulty, intrapelvic abscess, andileus/obstruction. Multivariate analysis revealed the followingas risk factors for postoperative complications:male gender, history of previous abdominal surgery, andlower tumor level (hazard ratio [HR] = 1.8, 95% confidenceinterval [CI] = 1.0-3.1, p = 0.041; HR = 2.3; 95%CI = 1.2-4.6, p = 0.012; and HR = 1.9, 95% CI =1.1-3.3, p = 0.020, respectively). With regard to pelvicseptic complications, lower tumor level, large tumor size,and preoperative chemoradiation remained variables thatretained their statistical significance in multivariate analysis(HR = 2.6, 95% CI = 1.1-6.1, p = 0.029; HR = 2.7,95% CI = 1.1-6.1, p = 0.017; HR = 2.9, 95% CI =1.3-6.5, p = 0.007, respectively). The rate of postoperativecomplications was not influenced by the difference inlaparoscopic surgery experience or the technique of roboticsurgery. Conclusion Surgeons should be more cautious with thesepatient factors to optimize the benefits of robotic rectalresection.

Original languageEnglish
Pages (from-to)2555-2562
Number of pages8
JournalWorld Journal of Surgery
Volume35
Issue number11
DOIs
Publication statusPublished - 2011 Nov 1

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Robotics
Rectal Neoplasms
Statistical Factor Analysis
Multivariate Analysis
Neoplasms
Anastomotic Leak
Minimally Invasive Surgical Procedures
Abscess
Databases

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kang, Jeonghyun ; Min, Byung Soh ; Park, Yoon Ah ; Hur, Hyuk ; Baik, Seung Hyuk ; Kim, Namkyu ; Sohn, Seung Kook ; Lee, Kang Young. / Risk factor analysis of postoperative complications after robotic rectal cancer surgery. In: World Journal of Surgery. 2011 ; Vol. 35, No. 11. pp. 2555-2562.
@article{db35bf883db64dc6a7fac954d646de27,
title = "Risk factor analysis of postoperative complications after robotic rectal cancer surgery",
abstract = "Background The robotic system has been adopted as the new modality for minimally invasive surgery for rectalcancer. However, analysis of risk factors for complicationsafter robotic rectal cancer surgery (RRS) has been limited.This study aimed to identify the risk factors for complicationsafter RRS.Methods The records of 389 consecutive patients whounderwent RRS between June 2006 and October 2010 wereretrieved from our prospectively collected database.Results The overall complication rate was 19{\%}. The mostcommon complicationwas anastomotic leakage (7.0{\%}),followed by voiding difficulty, intrapelvic abscess, andileus/obstruction. Multivariate analysis revealed the followingas risk factors for postoperative complications:male gender, history of previous abdominal surgery, andlower tumor level (hazard ratio [HR] = 1.8, 95{\%} confidenceinterval [CI] = 1.0-3.1, p = 0.041; HR = 2.3; 95{\%}CI = 1.2-4.6, p = 0.012; and HR = 1.9, 95{\%} CI =1.1-3.3, p = 0.020, respectively). With regard to pelvicseptic complications, lower tumor level, large tumor size,and preoperative chemoradiation remained variables thatretained their statistical significance in multivariate analysis(HR = 2.6, 95{\%} CI = 1.1-6.1, p = 0.029; HR = 2.7,95{\%} CI = 1.1-6.1, p = 0.017; HR = 2.9, 95{\%} CI =1.3-6.5, p = 0.007, respectively). The rate of postoperativecomplications was not influenced by the difference inlaparoscopic surgery experience or the technique of roboticsurgery. Conclusion Surgeons should be more cautious with thesepatient factors to optimize the benefits of robotic rectalresection.",
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Kang, J, Min, BS, Park, YA, Hur, H, Baik, SH, Kim, N, Sohn, SK & Lee, KY 2011, 'Risk factor analysis of postoperative complications after robotic rectal cancer surgery', World Journal of Surgery, vol. 35, no. 11, pp. 2555-2562. https://doi.org/10.1007/s00268-011-1270-9

Risk factor analysis of postoperative complications after robotic rectal cancer surgery. / Kang, Jeonghyun; Min, Byung Soh; Park, Yoon Ah; Hur, Hyuk; Baik, Seung Hyuk; Kim, Namkyu; Sohn, Seung Kook; Lee, Kang Young.

In: World Journal of Surgery, Vol. 35, No. 11, 01.11.2011, p. 2555-2562.

Research output: Contribution to journalArticle

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T1 - Risk factor analysis of postoperative complications after robotic rectal cancer surgery

AU - Kang, Jeonghyun

AU - Min, Byung Soh

AU - Park, Yoon Ah

AU - Hur, Hyuk

AU - Baik, Seung Hyuk

AU - Kim, Namkyu

AU - Sohn, Seung Kook

AU - Lee, Kang Young

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N2 - Background The robotic system has been adopted as the new modality for minimally invasive surgery for rectalcancer. However, analysis of risk factors for complicationsafter robotic rectal cancer surgery (RRS) has been limited.This study aimed to identify the risk factors for complicationsafter RRS.Methods The records of 389 consecutive patients whounderwent RRS between June 2006 and October 2010 wereretrieved from our prospectively collected database.Results The overall complication rate was 19%. The mostcommon complicationwas anastomotic leakage (7.0%),followed by voiding difficulty, intrapelvic abscess, andileus/obstruction. Multivariate analysis revealed the followingas risk factors for postoperative complications:male gender, history of previous abdominal surgery, andlower tumor level (hazard ratio [HR] = 1.8, 95% confidenceinterval [CI] = 1.0-3.1, p = 0.041; HR = 2.3; 95%CI = 1.2-4.6, p = 0.012; and HR = 1.9, 95% CI =1.1-3.3, p = 0.020, respectively). With regard to pelvicseptic complications, lower tumor level, large tumor size,and preoperative chemoradiation remained variables thatretained their statistical significance in multivariate analysis(HR = 2.6, 95% CI = 1.1-6.1, p = 0.029; HR = 2.7,95% CI = 1.1-6.1, p = 0.017; HR = 2.9, 95% CI =1.3-6.5, p = 0.007, respectively). The rate of postoperativecomplications was not influenced by the difference inlaparoscopic surgery experience or the technique of roboticsurgery. Conclusion Surgeons should be more cautious with thesepatient factors to optimize the benefits of robotic rectalresection.

AB - Background The robotic system has been adopted as the new modality for minimally invasive surgery for rectalcancer. However, analysis of risk factors for complicationsafter robotic rectal cancer surgery (RRS) has been limited.This study aimed to identify the risk factors for complicationsafter RRS.Methods The records of 389 consecutive patients whounderwent RRS between June 2006 and October 2010 wereretrieved from our prospectively collected database.Results The overall complication rate was 19%. The mostcommon complicationwas anastomotic leakage (7.0%),followed by voiding difficulty, intrapelvic abscess, andileus/obstruction. Multivariate analysis revealed the followingas risk factors for postoperative complications:male gender, history of previous abdominal surgery, andlower tumor level (hazard ratio [HR] = 1.8, 95% confidenceinterval [CI] = 1.0-3.1, p = 0.041; HR = 2.3; 95%CI = 1.2-4.6, p = 0.012; and HR = 1.9, 95% CI =1.1-3.3, p = 0.020, respectively). With regard to pelvicseptic complications, lower tumor level, large tumor size,and preoperative chemoradiation remained variables thatretained their statistical significance in multivariate analysis(HR = 2.6, 95% CI = 1.1-6.1, p = 0.029; HR = 2.7,95% CI = 1.1-6.1, p = 0.017; HR = 2.9, 95% CI =1.3-6.5, p = 0.007, respectively). The rate of postoperativecomplications was not influenced by the difference inlaparoscopic surgery experience or the technique of roboticsurgery. Conclusion Surgeons should be more cautious with thesepatient factors to optimize the benefits of robotic rectalresection.

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