The Effect of Preoperative and Peroperative Parameters on Postoperative Complications of Patients Followed in the Intensive Care Unit after Colorectal Cancer Surgery

Abstract

Aim: Surgery practiced in colorectal carcinomas is an important execution area in the clinic of anesthesia and critical care because of the wide range of co-morbid diseases that advanced-aged patients have and, preoperative preparation, operational and postoperative care features distinctive for the surgical process. To investigate distinctive factors between the groups with and without complications during perioperative period on patients who diagnosed colorectal carcinoma and have colorectal resection surgery. Method: One hundred fifteen patients over 18 years old from two genders that have diagnosed as colorectal carcinoma and had intestinal resection at elective conditions have been investigated retrospectively. Patients were monitored at İstanbul University Faculty of Medicine Adult Intensive Care Unit between the years 2008 and 2010. Results: Eighty (69%) of patients were male, 35 (31%) of patients were female. Hemoglobin levels of the groups with and without complication were 8.45±2.55 g/dL and 11.51±2.15 g/dL, respectively before the operation (p=<0.0001). Similarly, thrombocyte count was 256±83.106/mm3 in complication group while it was 281±13.106/mm3 in no complication group (p=0.02); ratio of patient who have transfusion during operation is 48% in complication group and 27% in no complication group. Transfusion amounts were 2.2±0.7 and 1.2±0.1 units, respectively (p=<0.0001). Conclusion: An increase was observed in the postoperative complications frequency of the patients with lower hemoglobin level and thrombocyte count and received large amount, frequent blood transfusion during preoperative period.

Keywords

• Colorectal resection
• postoperative mortality
• intensive care unit
• hemoglobin