Factors affecting operative morbidity and long-term outcomes in patients undergoing surgery for presacral tumours: a multicentric cohort study from the Turkish Collaborative Group for Quality Improvement in Colorectal and Pelvic Surgery
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Erişim
info:eu-repo/semantics/openAccessTarih
2023Yazar
Aytaç, ErmanSökmen, Selman
Aktaş, Melik Kağan
Çolak, Tahsin
Menteş, Bülent
Balık, Emre
Demirbaş, Sezai
Akyol, Cihangir
Sungurtekin, Uğur
Buğra, Dursun
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Tüm öğe kaydını gösterKünye
Aytaç, E., Sökmen, S., Aktaş, M. K., Çolak, T., Menteş, B., Balık, E. ... Buğra, D. (2023). Factors affecting operative morbidity and long-term outcomes in patients undergoing surgery for presacral tumours: a multicentric cohort study from the Turkish Collaborative Group for Quality Improvement in Colorectal and Pelvic Surgery. Colorectal Disease, 25(9), 1795-1801. https://dx.doi.org/10.1111/codi.16697Özet
Aim Data regarding the operative management of presacral tumours present various dilemmas due to their rarity and heterogeneous nature. The aim of this study was to evaluate the management strategy, factors associated with operative morbidity and long-term postoperative outcomes in a large group of patients undergoing surgery for presacral tumours.Method This study was designed as a multicentre retrospective cohort study. Records of patients who underwent surgery for presacral tumours at 10 tertiary colorectal centres between 1996 and 2017 were evaluated.Results One hundred and twenty seven patients (44 men) with a mean age of 46 years and body mass index of 27 kg/m(2) were included. Fifty eight per cent of the patients had low sacral lesions (below S3). The operative approaches were transabdominal (17%), transsacral (65%) and abdominosacral (17%). The postoperative morbidity was 19%. Thirty per cent of the patients had a malignant tumour. Longer duration of symptoms (p = 0.001), higher American Society of Anesthesiologists score (p = 0.01), abdominosacral operations (p = 0.0001) and presacral tumours located above S3 (p = 0.004) were associated with an increased risk of postoperative morbidity. Overall long-term postoperative recurrence and mortality were 6% and 5%, respectively, within a 3-year mean follow-up period in patients with presacral malignant tumours.Conclusion Reduced physical condition, omission of symptoms prior to surgery, combined resections and high sacral tumours are the risk factors associated with postoperative complications in patients undergoing surgery for presacral tumours. Meticulous planning of the operation and intensified perioperative care may improve the outcomes in high-risk patients.
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Q1Scopus Q Kategorisi
Q2Kaynak
Colorectal DiseaseCilt
25Sayı
9Koleksiyonlar
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