Effect of hemodialysis on short-term outcomes after colon cancer surgery
| العنوان: | Effect of hemodialysis on short-term outcomes after colon cancer surgery |
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| المؤلفون: | Toshio Shiraishi, Tetsuro Tominaga, Takashi Nonaka, Shintaro Hashimoto, Kiyoaki Hamada, Masato Araki, Yorihisa Sumida, Hiroaki Takeshita, Hidetoshi Fukuoka, Hideo Wada, Kazuo To, Mariko Yamashita, Kenji Tanaka, Terumitsu Sawai, Takeshi Nagayasu |
| المصدر: | PLoS ONE, Vol 17, Iss 1 (2022) PLoS ONE, Vol 17, Iss 1, p e0262531 (2022) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Clinical Oncology, Adult, Male, Colon, Urology, Science, Cancer Treatment, Surgical and Invasive Medical Procedures, Minimally Invasive Surgery, Young Adult, Postoperative Complications, Japan, Renal Dialysis, Risk Factors, Medical Dialysis, Medicine and Health Sciences, Humans, Digestive System Surgical Procedures, Aged, Retrospective Studies, Colorectal Cancer, Aged, 80 and over, Multidisciplinary, Genitourinary Infections, Cancers and Neoplasms, Biology and Life Sciences, Middle Aged, Prognosis, Gastrointestinal Tract, Survival Rate, Surgical Oncology, Oncology, Nephrology, Elective Surgical Procedures, Renal Cancer, Urinary Tract Infections, Colonic Neoplasms, Medicine, Female, Clinical Medicine, Anatomy, Digestive System, Research Article, Follow-Up Studies |
| الوصف: | Background Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. Methods This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. Results Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384–7.5730; p = 0.026). Conclusion Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50a0b4b300078b0776fe46dc1b17acf0 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8754322/?tool=EBI |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....50a0b4b300078b0776fe46dc1b17acf0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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