Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation
المؤلفون المشاركون
Wang, Rui
Gao, Yi
Li, Jia-Yi
Wang, Zhong-Hui
Li, Qin-qing
Feng, Jun
Liao, Chengde
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-27
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
In the unplanned reoperation of colorectal cancer patients, computed tomography (CT) is increasingly utilized to locate postoperative complications and previously unlocalized lesions.
The purpose of this study is to explore the application of CT in the mortality and complications of the reoperation of colorectal cancer.
Patients and Methods.
We performed a retrospective review of collected data from the colorectal surgeries of 90 identified colorectal cancer patients who received an unplanned reoperation from 2010 to 2018.
Patients were stratified according to those with preoperative CT imaging (CT group, n=36) and those without preoperative CT imaging (NCT group, n=54).
Twenty-four statistical indicators of each patient were studied, including their preoperative risk, surgical characteristics, and postoperative outcomes, and satisfaction was evaluated.
All data were statistically analysed for predicting postoperative complications by univariate and multivariate logistic regression analyses.
Results.
Ninety patients received an unplanned reoperation in the study, and 40% (36/90) of these patients underwent preoperative CT examination.
Patients’ risk factors were similar between CT and NCT groups.
Preoperative imaging was more commonly performed for reoperative new anastomosis + ileostomy but less common for reoperative Dixon’s procedure.
The operative duration of the NCT group was longer (139 vs.
104 min, respectively, P=0.01).
Preoperative NCT examination (OR 1.24; 95% CI=1.09‐1.42; P=0.01) was an independent predictor of postoperative complications.
Importantly, three patients died after an unplanned reoperation for colorectal cancer, which occurred only in the NCT group (5.6% vs.
0.0%, P=0.01).
Conclusion.
The use of conventional preoperative CT optimizes the choice of the surgical site and the strategy of laparotomy, so as to reduce the length of operation.
Preoperative imaging evaluation should be performed for patients undergoing repeat abdominal surgery.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Rui& Gao, Yi& Li, Jia-Yi& Wang, Zhong-Hui& Li, Qin-qing& Feng, Jun…[et al.]. 2020. Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1166911
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Rui…[et al.]. Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation. Gastroenterology Research and Practice No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1166911
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Rui& Gao, Yi& Li, Jia-Yi& Wang, Zhong-Hui& Li, Qin-qing& Feng, Jun…[et al.]. Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1166911
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1166911
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر