Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation
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...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/6062414 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551658802905088 |
|---|---|
| author | Rui Wang Yi Gao Jia-Yi Li Zhong-Hui Wang Qin-qing Li Jun Feng Chengde Liao |
| author_facet | Rui Wang Yi Gao Jia-Yi Li Zhong-Hui Wang Qin-qing Li Jun Feng Chengde Liao |
| author_sort | Rui Wang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-341def05fead4fc299185b28cdcf1acc |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-341def05fead4fc299185b28cdcf1acc2025-02-03T06:00:49ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/60624146062414Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned ReoperationRui Wang0Yi Gao1Jia-Yi Li2Zhong-Hui Wang3Qin-qing Li4Jun Feng5Chengde Liao6Radiology Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaColorectal Surgery Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaColorectal Surgery Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaAnesthesiology Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaRadiology Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaRadiology Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaRadiology Department, Yunnan Cancer Hospital/Third Affiliated Hospital of Kunming Medical University, ChinaBackground. 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.http://dx.doi.org/10.1155/2020/6062414 |
| spellingShingle | Rui Wang Yi Gao Jia-Yi Li Zhong-Hui Wang Qin-qing Li Jun Feng Chengde Liao Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation Gastroenterology Research and Practice |
| title | Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation |
| title_full | Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation |
| title_fullStr | Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation |
| title_full_unstemmed | Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation |
| title_short | Assessment of the Clinical Usefulness of Preoperative Computed Tomography in Colorectal Cancer Patients Who Received Unplanned Reoperation |
| title_sort | assessment of the clinical usefulness of preoperative computed tomography in colorectal cancer patients who received unplanned reoperation |
| url | http://dx.doi.org/10.1155/2020/6062414 |
| work_keys_str_mv | AT ruiwang assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT yigao assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT jiayili assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT zhonghuiwang assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT qinqingli assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT junfeng assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation AT chengdeliao assessmentoftheclinicalusefulnessofpreoperativecomputedtomographyincolorectalcancerpatientswhoreceivedunplannedreoperation |