Journal article
Correlation Between Postoperative Complications and Number of Colorectal Liver Metastases Resected
The Journal of surgical research, Vol.306, pp.465-473
02/2025
DOI: 10.1016/j.jss.2025.01.004
PMID: 39864273
Abstract
This study aimed to describe the relationship between the number of colorectal liver metastases (CRLM) resected and the rate of postoperative complications and to determine a threshold level, if any, for which the risk of postoperative complications outweighs the benefit of resection of metastatic disease.
This is a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database from 2019 to 2021. Patients were divided into three major groups: one to two, three to four, and more than five CRLM.
A total of 5124 patients had CRLM. Compared to patients with one to two and three to four CRLM, patients with 5+ resections were at increased risk of any complication (1655 [50% for one to two CRLM versus 697 [65%] for three to four CRLM versus 437 [76%] for 5+ LM; P = 0.001), surgical complications (1305 [40%] versus 556 [52%] versus 349 [60%]; P = 0.001), and medical complications (350 [10%] versus 141 [13%] versus 88 [16%]; P = 0.001).
Our data demonstrate a significant increase in any surgical complications with three to four tumors resected and a significant increase in any surgical and medical complications and length of stay >5 ds with five or more tumors resected.
Details
- Title: Subtitle
- Correlation Between Postoperative Complications and Number of Colorectal Liver Metastases Resected
- Creators
- Faisal S. Jehan - Roswell Park Comprehensive Cancer CenterPeyton Seda - University of IowaApoorve Nayyar - University of IowaHassan Aziz - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of surgical research, Vol.306, pp.465-473
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jss.2025.01.004
- PMID
- 39864273
- ISSN
- 0022-4804
- eISSN
- 1095-8673
- Number of pages
- 9
- Language
- English
- Date published
- 02/2025
- Academic Unit
- Surgery
- Record Identifier
- 9984781375102771
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