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 language | English |
|---|---|
| Pages (from-to) | 2555-2562 |
| Number of pages | 8 |
| Journal | World Journal of Surgery |
| Volume | 35 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 2011 Nov 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
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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 journal › Article
TY - JOUR
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
PY - 2011/11/1
Y1 - 2011/11/1
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.
UR - http://www.scopus.com/inward/record.url?scp=81855169541&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=81855169541&partnerID=8YFLogxK
U2 - 10.1007/s00268-011-1270-9
DO - 10.1007/s00268-011-1270-9
M3 - Article
C2 - 21913134
AN - SCOPUS:81855169541
VL - 35
SP - 2555
EP - 2562
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 11
ER -