Piso, Pompiliu and Nedelcut, Sebastian D. and Rau, Beate and Koenigsrainer, Alfred and Glockzin, Gabriel and Stroehlein, Michael A. and Hoerbelt, Ruediger and Pelz, Joerg (2019) Morbidity and Mortality Following Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Data from the DGAV StuDoQ Registry with 2149 Consecutive Patients. ANNALS OF SURGICAL ONCOLOGY, 26 (1). pp. 148-154. ISSN 1068-9265, 1534-4681
Full text not available from this repository. (Request a copy)Abstract
BackgroundCytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are performed for well-selected patients with peritoneal surface malignancies. This combined treatment is potentially associated with an increased rate of complications.ObjectiveThe aim of this paper was to analyze the morbidity and mortality of CRS and HIPEC in the German national registry.MethodsWe present a retrospective analysis of 2149 consecutive patients from 52 hospitals. The data were prospectively documented in the DGAV StuDoQ Registry between February 2011 and December 2016.ResultsAlmost two-thirds of all patients had a colorectal malignancy; therefore, the most frequently performed resections were colectomies (54%) and rectal resections (30%). Only 36.2% of all patients had no anastomosis, and fewer than 20% of all patients were older than 70years of age (16.4%). Enteric fistula and anastomotic leaks occurred in 10.5% of all cases. The reoperation rate was 14.6% (95% confidence interval [CI] 11.51-18.1). Major grade 3 and 4 complications (Clavien-Dindo classification) occurred in 19.3% of all patients, half of which were due to surgical complications. The overall 30-day postoperative hospital mortality was 2.3% (95% CI 1.02-3.85). Multivariate analysis showed an increased risk for morbidity associated with pancreatic resections (odds ratio [OR] 2.4), rectal resection (OR 1.5), or at least one anastomosis (OR 1.35), and mortality with reoperation (OR 8.7) or age >70years (OR 3.35).ConclusionsCRS and HIPEC are associated with acceptable morbidity and low mortality. These results show that CRS and HIPEC can be safely performed nationwide when close mentoring by experienced centers is provided.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PERITONEAL SURFACE MALIGNANCIES; DISTAL PANCREATECTOMY; AMERICAN-COLLEGE; CARCINOMATOSIS; OUTCOMES; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Apr 2020 06:56 |
| Last Modified: | 22 Apr 2020 06:56 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27895 |
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