The impact of previous abdominal surgery on colorectal cancer patients undergoing laparoscopic surgery

作者全名："Liu, Xu-Rui; Zhang, Bing-Lan; Peng, Dong; Liu, Fei; Li, Zi-Wei; Wang, Chun-Yi"

作者地址："[Liu, Xu-Rui; Peng, Dong; Liu, Fei; Li, Zi-Wei; Wang, Chun-Yi] Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China; [Zhang, Bing-Lan] Chongqing Med Univ, Dept Gastroenterol, Affiliated Hosp 1, Chongqing 400016, Peoples R China"

通信作者："Wang, CY (通讯作者)，Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China."

来源：UPDATES IN SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001242125500002

JCR分区：Q1

影响因子：2.6

年份：2024

卷号：76

期号：4

开始页：1331

结束页：1338

文献类型：Article

关键词：Colorectal cancer; Previous abdominal surgery; Surgical outcomes; Postoperative complications; Adhesions

摘要："The current study aimed to investigate whether previous abdominal surgery (PAS) could affect the outcomes of colorectal cancer (CRC) surgery. We conducted the search strategy in three databases (PubMed, Embase, and the Cochrane Library) from inception to May 26, 2022. The short-term and long-term outcomes were compared between the PAS group and the non-PAS group. Odds ratios (ORs) and 95% confidence intervals (CIs) were pooled up. Stata (V.16.0) software was used for data analysis. We included 34,827 patients from 14 studies in the current study. After pooling up all the data, we found that there were higher proportions of overall complications (OR = 1.12, I2 = 4.65%, 95% CI 1.03 to 1.23, P = 0.01), ileus (OR = 1.96, I2 = 59.74%, 95% CI 1.12 to 3.44, P = 0.02) and mortality (OR = 1.26, I2 = 0.00%, 95% CI 1.11 to 1.42, P = 0.00) in the PAS group than the non-PAS group. Patients with a history of PAS had higher risks of overall complications and death following CRC surgery. However, it did not appear to significantly affect the short-term outcomes apart from ileus. Surgeons should raise awareness of patients with a history of PAS, and take steps to reduce postoperative complications and mortality."

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