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Risk factors for morbidity and mortality after colectomy for colon cancer

Diseases of the Colon & Rectum · 2000 · Vol. 43(1) · pp. 83–91

Walter E. Longo✉(Saint Louis University)Katherine S. Virgo(Saint Louis University)Frank E. Johnson(Saint Louis University)Charles OprianAnthony M. Vernava(Saint Louis University)Terence P. Wade(Saint Louis University)Maureen PhelanWilliam G. HendersonJennifer Daley(Harvard University)Shukri F. Khuri(Signature Healthcare Brockton Hospital)

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Abstract

Mortality rates after colectomy in Veterans Affairs hospitals are comparable with those reported in other large studies. Ascites, hypernatremia, do not resuscitate status before surgery, and American Society of Anesthesiologists classes III and IV OR V were strongly predictive of perioperative death. Clinical trials to decrease the complication rate after colectomy for colon cancer should focus on these risk factors.

Cardiac, Anesthesia and Surgical Outcomes Colorectal Cancer Surgical Treatments Aortic aneurysm repair treatmentsMedicineVeterans AffairsColectomyIleusColorectal surgeryMortality rateLogistic regressionAdverse effectPneumoniaColorectal cancer

MeSH terms

AdultAgedAged, 80 and overAnastomosis, SurgicalColectomyColonic NeoplasmsFemaleForecastingHospitals, VeteransHumansIntestinal ObstructionMaleMiddle AgedPneumoniaProspective Studies

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Postoperative Mortality and Morbidity in French Patients Undergoing Colorectal Surgery