Effect of postoperative complications on 5-year survival following laparoscopic surgery for resectable colorectal cancer: a retrospective study.

IF 2.5 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY International Journal of Colorectal Disease Pub Date : 2024-11-07 DOI:10.1007/s00384-024-04730-8

Jae Eun Lee, Kyeong Eui Kim, Woon Kyung Jeong, Seong Kyu Baek, Sung Uk Bae

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Abstract

Purpose: The purpose of this study was to investigate the effects of postoperative complications on long-term survival after laparoscopic surgery for resectable colorectal cancer.

Methods: We retrospectively included 204 patients who underwent laparoscopic surgery for colorectal cancer from January 2016 to June 2020.

Results: Overall, 68 (33.3%) patients had postoperative complications, twelve (17.6%) of which were classified as Clavien-Dindo class 3a or higher. The 5-year overall survival rate of the non-complication and complication groups were 93.0% and 81.7%, respectively (p = 0.048; Kaplan-Meier analysis and log-rank test), and those among patients with stage III disease were 87.0% and 61.3%, respectively (p = 0.045). The 5-year disease-free survival rates were 85.6% and 77.4%, respectively (p = 0.042). Multivariable Cox proportional-hazards analysis revealed that nodal stage (hazard ratio, 8.392; 95% confidence interval, 1.892-37.175; p = 0.005) was an independent prognostic factor for overall survival, and postoperative complications (hazard ratio, 2.996; 95% confidence interval, 1.076-8.340; p = 0.036) were independent prognostic factors for disease-free survival.

Conclusion: Postoperative complications were associated with poor oncological outcomes, especially among patients with stage III colorectal cancer, and independent prognostic factors for disease-free survival.

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腹腔镜手术治疗可切除结直肠癌术后并发症对 5 年生存率的影响：一项回顾性研究。

目的：本研究旨在探讨腹腔镜手术治疗可切除结直肠癌术后并发症对长期生存的影响：我们回顾性纳入了2016年1月至2020年6月期间接受腹腔镜手术治疗结直肠癌的204例患者：总体而言，68例（33.3%）患者出现术后并发症，其中12例（17.6%）被归类为Clavien-Dindo 3a级或以上。无并发症组和并发症组的5年总生存率分别为93.0%和81.7%（P = 0.048；卡普兰-梅耶尔分析和对数秩检验），III期患者的5年总生存率分别为87.0%和61.3%（P = 0.045）。5年无病生存率分别为85.6%和77.4%（p = 0.042）。多变量考克斯比例危险分析显示，结节分期（危险比，8.392；95% 置信区间，1.892-37.175；p = 0.005）是总生存率的独立预后因素，术后并发症（危险比，2.996；95% 置信区间，1.076-8.340；p = 0.036）是无病生存率的独立预后因素：结论：术后并发症与不良的肿瘤预后有关，尤其是在 III 期结直肠癌患者中，同时也是无病生存期的独立预后因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Colorectal Disease 医学-外科

CiteScore

4.90

自引率

3.60%

发文量

206

审稿时长

3-8 weeks

期刊介绍： The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies. The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.