文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

腹腔镜手术治疗可切除结直肠癌术后并发症对 5 年生存率的影响:一项回顾性研究。

Effect of postoperative complications on 5-year survival following laparoscopic surgery for resectable colorectal cancer: a retrospective study.

机构信息

Department of Medicine, Keimyung University School of Medicine, Daegu, Korea.

Department of Surgery, School of Medicine, Dongsan Medical Center, Keimyung University, Dalgubeol-Daero, Dalseo-Gu, 1035, Daegu, Republic of Korea.

出版信息

Int J Colorectal Dis. 2024 Nov 7;39(1):179. doi: 10.1007/s00384-024-04730-8.


DOI:10.1007/s00384-024-04730-8
PMID:39505787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11541292/
Abstract

PURPOSE: The purpose of this study was to investigate the effects of postoperative complications on long-term survival after laparoscopic surgery for resectable colorectal cancer. METHODS: We retrospectively included 204 patients who underwent laparoscopic surgery for colorectal cancer from January 2016 to June 2020. RESULTS: Overall, 68 (33.3%) patients had postoperative complications, twelve (17.6%) of which were classified as Clavien-Dindo class 3a or higher. The 5-year overall survival rate of the non-complication and complication groups were 93.0% and 81.7%, respectively (p = 0.048; Kaplan-Meier analysis and log-rank test), and those among patients with stage III disease were 87.0% and 61.3%, respectively (p = 0.045). The 5-year disease-free survival rates were 85.6% and 77.4%, respectively (p = 0.042). Multivariable Cox proportional-hazards analysis revealed that nodal stage (hazard ratio, 8.392; 95% confidence interval, 1.892-37.175; p = 0.005) was an independent prognostic factor for overall survival, and postoperative complications (hazard ratio, 2.996; 95% confidence interval, 1.076-8.340; p = 0.036) were independent prognostic factors for disease-free survival. CONCLUSION: Postoperative complications were associated with poor oncological outcomes, especially among patients with stage III colorectal cancer, and independent prognostic factors for disease-free survival.

摘要

目的:本研究旨在探讨术后并发症对腹腔镜结直肠癌根治术后长期生存的影响。

方法:我们回顾性纳入了 2016 年 1 月至 2020 年 6 月接受腹腔镜结直肠癌手术的 204 例患者。

结果:总体而言,68 例(33.3%)患者发生术后并发症,其中 12 例(17.6%)为 Clavien-Dindo 分级 3a 或更高。无并发症组和并发症组的 5 年总生存率分别为 93.0%和 81.7%(p=0.048;Kaplan-Meier 分析和对数秩检验),其中 III 期疾病患者的 5 年总生存率分别为 87.0%和 61.3%(p=0.045)。无复发生存率分别为 85.6%和 77.4%(p=0.042)。多变量 Cox 比例风险分析显示,淋巴结分期(风险比,8.392;95%置信区间,1.892-37.175;p=0.005)是总生存的独立预后因素,术后并发症(风险比,2.996;95%置信区间,1.076-8.340;p=0.036)是无复发生存的独立预后因素。

结论:术后并发症与较差的肿瘤学结果相关,尤其是在 III 期结直肠癌患者中,并且是无复发生存的独立预后因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c726/11541292/6f4403b64642/384_2024_4730_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c726/11541292/5db0e1a1fc11/384_2024_4730_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c726/11541292/6f4403b64642/384_2024_4730_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c726/11541292/5db0e1a1fc11/384_2024_4730_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c726/11541292/6f4403b64642/384_2024_4730_Fig2_HTML.jpg

相似文献

[1]
Effect of postoperative complications on 5-year survival following laparoscopic surgery for resectable colorectal cancer: a retrospective study.

Int J Colorectal Dis. 2024-11-7

[2]
Short- and long-term outcomes following laparoscopic open surgery for pathological T4 colorectal cancer: 10 years of experience in a single center.

World J Gastroenterol. 2018-1-7

[3]
Perioperative blood transfusion in cancer patients undergoing laparoscopic colorectal resection: risk factors and impact on survival.

Tech Coloproctol. 2013-4-19

[4]
[Predictive value of Glasgow prognostic score in patients with colorectal cancer undergoing laparoscopic radical resection].

Zhonghua Wei Chang Wai Ke Za Zhi. 2016-10-25

[5]
Sarcopenia Predicts Postoperative Complications and Survival of Colorectal Cancer Patients Undergoing Radical Surgery.

Br J Hosp Med (Lond). 2024-9-30

[6]
Major postoperative complications following elective resection for colorectal cancer decrease long-term survival but not the time to recurrence.

Colorectal Dis. 2015-2

[7]
Postoperative complications are associated with poor survival outcome after curative resection for colorectal cancer: A propensity-score analysis.

J Surg Oncol. 2020-4-28

[8]
Prognostic impact of postoperative intra-abdominal infections after elective colorectal cancer resection on survival and local recurrence: a propensity score-matched analysis.

Int J Colorectal Dis. 2020-3

[9]
Survival and prognostic association in stage IV colorectal cancer patients treated with chemotherapy in Bangladesh.

Jpn J Clin Oncol. 2021-4-1

[10]
[Comparison of the short-term and long-term outcomes of laparoscopic surgery and open surgery for early-stage cervical cancer].

Zhonghua Zhong Liu Za Zhi. 2017-6-23

引用本文的文献

[1]
MRI-based radiomics for preoperative T-staging of rectal cancer: a retrospective analysis.

Int J Colorectal Dis. 2025-8-8

[2]
Hippo/YAP signaling pathway in colorectal cancer: regulatory mechanisms and potential drug exploration.

Front Oncol. 2025-6-19

本文引用的文献

[1]
Influence of Laparoscopic Surgery on Cellular Immunity in Colorectal Cancer: A Systematic Review and Meta-Analysis.

Cancers (Basel). 2023-6-28

[2]
Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy.

Ann Surg Treat Res. 2023-3

[3]
A propensity score-matched analysis of advanced energy devices and conventional monopolar device for colorectal cancer surgery: comparison of clinical and oncologic outcomes.

Ann Surg Treat Res. 2022-11

[4]
Impact of Preoperative Visceral Fat Area Measured by Bioelectrical Impedance Analysis on Clinical and Oncologic Outcomes of Colorectal Cancer.

Nutrients. 2022-9-24

[5]
The Effect of Complications on Oncological Outcomes of Colorectal Cancer Patients After Primary Surgery: A Propensity Score Matching Analysis.

Front Oncol. 2022-6-3

[6]
Comparison of Short-Term Results of Laparoscopic and Open Surgeries for Colorectal Cancer: A Single-Center Experience.

Cureus. 2022-5-1

[7]
Surgical site infection after laparoscopic resection of colorectal cancer is associated with compromised long-term oncological outcome.

World J Surg Oncol. 2022-4-7

[8]
Oncologic benefit of adjuvant chemotherapy for locally advanced rectal cancer after neoadjuvant chemoradiotherapy and curative surgery with selective lateral pelvic lymph node dissection: An international retrospective cohort study.

Eur J Surg Oncol. 2022-7

[9]
Postoperative complications after colorectal cancer surgery and the association with long-term survival.

Eur J Surg Oncol. 2022-4

[10]
Early and late clinico-pathologic outcomes of minimally invasive total mesorectal excision for rectal cancer: A propensity score-matched comparison of robotic and laparoscopic approaches.

Int J Med Robot. 2021-12

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索