Postoperative complication rates between Crohn's disease and Colorectal cancer patients after ileocolic resections: a comparative study

ABSTRACT Introduction: Ileocolic resection (ICR) is the most common surgical procedure performed for Crohn's disease (CD). Similarly, right-sided Colorectal cancer (CRC) is treated by the same operation. The primary aim of this study was to analyze and compare the frequency and profile of early postoperative complications of ICR between patients with CD and CRC. Methods: Retrospective and observational study with patients submitted to ICR from two Brazilian tertiary referral units in colorectal surgery. We included patients with diagnosis of CD or CRC, treated with ICR, at any stage of follow-up. Variables analyzed: age at surgery, gender, diagnosis, surgical approach (open or laparoscopy), type of anastomosis (hand-sewn/stapled; end-to-end/side-to-side), presence and type of early postoperative complications (30 days) and mortality, among others. Results: 109 patients were included, 73 with CD (67%) and 36 with CRC (33%). CD patients were younger (42.44 ± 12.73 years vs. 66.14 ± 11.02 years in the CRC groups, p < 0.0001) and had more previous resections (20 ± 27.4 in CD and 0 in CCR, p = 0.001). There were no significant differences between the groups in terms of overall early postoperative complications [17/73 (23.3%) in the CD and 5/36 (13.9%) in the CRC groups (p = 0.250)]. There was no significant difference between the groups in relation to anastomotic leakage (p = 0.185), surgical site infections (p = 0.883), other complications (0.829) and deaths (p = 0.069). Conclusions: There was no significant difference in early postoperative complications in patients with CD or CRC submitted to ICR.

Bibliographic Details

Main Authors:	Boaron,Larissa, Facchin,Luiza, Bau,Mariella, Zacharias,Patricia, Ribeiro,Diogo, Miranda,Eron Fábio, Barcelos,Ivan Folchini de, Ropelato,Renato Vismara, Steckert Filho,Álvaro, Meira Junior,José Donizeti de, Sassaki,Ligia, Saad-Hossne,Rogério, Kotze,Paulo Gustavo
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Coloproctologia 2017
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632017000400290
Tags:	Add Tag No Tags, Be the first to tag this record!