Risk factors for small-bowel obstruction after colectomy for colorectal cancer: a retrospective study
Purpose Postoperative adhesions are a concerning complication of abdominal surgery with major implications on quality of life. This study aimed to investigate the risk factors for postoperative small-bowel obstruction (SBO) after colectomy for colorectal cancer. Methods We reviewed the clinicopathological variables of 1646 patients who underwent colectomy for colorectal cancer between 2009 and 2018. Results SBO occurred following primary tumor resection for colorectal cancer in 67 (4.1%) of the 1646 patients. The median observation period was 7.5 (range: 3.0–12.0) years. Multivariate analysis revealed that rectal tumors, anastomotic leakages, previous abdominal surgeries, and longer operating times were all correlated with postoperative SBO, but there were no differences in the incidence of SBO between laparoscopic vs. open surgery. The use of adhesion prevention material had no effect on SBO. Our data showed that the onset of SBO tended to be relatively early, within a year after surgery (89.5%). Conclusions Tumor localization in the rectum is associated with several problems, including a wide resection area, prolonged operative duration, and high risk of anastomotic leakage, which may increase the risk of SBO. Laparoscopic surgery and adhesion prevention material did not demonstrate a clear preventive effect against SBO..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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| Enthalten in: |
Surgery today - 53(2023), 9 vom: 23. März, Seite 1038-1046 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Honjo, Kumpei [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| BKL: | |
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| Themen: |
Adhesion |
| Anmerkungen: |
© The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s00595-023-02674-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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OLC2145246258 |
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| 520 | |a Purpose Postoperative adhesions are a concerning complication of abdominal surgery with major implications on quality of life. This study aimed to investigate the risk factors for postoperative small-bowel obstruction (SBO) after colectomy for colorectal cancer. Methods We reviewed the clinicopathological variables of 1646 patients who underwent colectomy for colorectal cancer between 2009 and 2018. Results SBO occurred following primary tumor resection for colorectal cancer in 67 (4.1%) of the 1646 patients. The median observation period was 7.5 (range: 3.0–12.0) years. Multivariate analysis revealed that rectal tumors, anastomotic leakages, previous abdominal surgeries, and longer operating times were all correlated with postoperative SBO, but there were no differences in the incidence of SBO between laparoscopic vs. open surgery. The use of adhesion prevention material had no effect on SBO. Our data showed that the onset of SBO tended to be relatively early, within a year after surgery (89.5%). Conclusions Tumor localization in the rectum is associated with several problems, including a wide resection area, prolonged operative duration, and high risk of anastomotic leakage, which may increase the risk of SBO. Laparoscopic surgery and adhesion prevention material did not demonstrate a clear preventive effect against SBO. | ||
| 650 | 4 | |a Small-bowel obstruction | |
| 650 | 4 | |a Colorectal cancer | |
| 650 | 4 | |a Risk factors | |
| 650 | 4 | |a Postoperative complications | |
| 650 | 4 | |a Adhesion | |
| 700 | 1 | |a Kawai, Masaya |4 aut | |
| 700 | 1 | |a Tsuchiya, Yuki |4 aut | |
| 700 | 1 | |a Ro, Hisashi |4 aut | |
| 700 | 1 | |a Sugimoto, Kiichi |4 aut | |
| 700 | 1 | |a Takahashi, Makoto |4 aut | |
| 700 | 1 | |a Tomiki, Yuichi |4 aut | |
| 700 | 1 | |a Sakamoto, Kazuhiro |4 aut | |
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