Faisal S. Jehan MD , Peyton Seda BS , Apoorve Nayyar MD , Hassan Aziz MD, FACS
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引用次数: 0
Abstract
Introduction
This study aimed to describe the relationship between the number of colorectal liver metastases (CRLM) resected and the rate of postoperative complications and to determine a threshold level, if any, for which the risk of postoperative complications outweighs the benefit of resection of metastatic disease.
Methods
This is a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database from 2019 to 2021. Patients were divided into three major groups: one to two, three to four, and more than five CRLM.
Results
A total of 5124 patients had CRLM. Compared to patients with one to two and three to four CRLM, patients with 5+ resections were at increased risk of any complication (1655 [50% for one to two CRLM versus 697 [65%] for three to four CRLM versus 437 [76%] for 5+ LM; P = 0.001), surgical complications (1305 [40%] versus 556 [52%] versus 349 [60%]; P = 0.001), and medical complications (350 [10%] versus 141 [13%] versus 88 [16%]; P = 0.001).
Conclusions
Our data demonstrate a significant increase in any surgical complications with three to four tumors resected and a significant increase in any surgical and medical complications and length of stay >5 ds with five or more tumors resected.
期刊介绍:
The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories.
The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.