Mishra S.1, Nandi R.1,
Agrawal K.1, Kumar S.1,
Deo S.1, Bhatnagar S.1
©2019 El(los) Autor(es) – Este registro pertenece a los Resúmenes de Trabajos Libres del Congreso CLASA 2019
https://doi.org/10.25237/congresoclasa2019.75 | PDF
Background: Due to rapidly advancing surgical techniques and
perioperative management more patients with co-morbidities and poor physical
condition are considered for surgical treatment for thoraco-abdominal cancers
leading to increased incidence of postoperative morbidity. Postoperative
morbidity has significant impactonlength of hospital stay, cost of health care
and long term survival. We evaluated incidence, types and risk factors of
postoperative morbidity after thoracoabdominal oncosurgery.
Methods: Patients scheduled for elective major thoraco-abdominal
oncosurgery that was expected to last more than or equal to two hours and/or
with anticipated blood loss more than 500 ml were included in the study. On the
3rd and 5th postoperative day postoperative morbidity survey (POMS) was
administered by questioning the patients and their care-givers, examination of
the patient and review of patients’ charts, investigations and other
records.
Results: Total 323 patients were recruited in the study.
POMS-defined morbidity was present in 60.4% patients on postoperative day (POD)
3 and in 18.9% patients on POD 5. Most common morbidity on POD 3 was pain
(34.8%) followed by gastrointestinal (24.2%) and pulmonary (14.3%)
complications. On POD 5, three most common complications were gastrointestinal
(7.8%), pulmonary (6.2%) and pain (5.9%). In multivariate analysis female sex,
hypertension, duration of surgery, intraoperative urine outputand delayed
extubationwere found to be independent predictors of POMS-defined morbidity on
POD 3. However, on POD 5 multivariate analyses showed that intraoperative
inotrope requirement, delayed extubation and ICU stay were independent
predictors of POMS-defined morbidity.
Conclusion: Postoperative morbidity is a potential problem after
thoraco-abdominal oncosurgery. The incidence of postoperative morbidity after
thoracoabdominal oncosurgery was 60.4% and 18.9% on postoperative day 3 and 5
respectively. Most common complications were postoperative pain,
gastrointestinal and pulmonary complications.
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