个人科研网厅 | | 帮助
首都医科大学宣武医院知识库
高级检索
当前位置： 首页 > 详情页

Risk factors for anastomotic leak and postoperative morbidity after right hemicolectomy for colon cancer: results from a prospective, multi-centre, snapshot study in China

| 认领 | 导出 | |

文献详情

资源类型：
WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Gao Jiale[1] * ; Gu Xiaodong[2] * ; Pang Minghui[3,4] * ; Zhang Hong[5] * ; Lian Yugui[6] * ; Zhou Lei[7] * ; Feng Bo[8] * ; Wang Guiying[9] * ; Zhang Zhicao[10] * ; Huang He[11] * ; Xiao Gang[12] * ; Han Fanghai[13] * ; Li Xinxiang[14] * ; Zhou Xiaojun[15] ; Wang Quan[16] ; Liu Qian[17] ; Deng Haijun[18] ; Wang Zhenjun[19] ; Song Wu[20] ; Wei Zhengqiang[21] ; Li Yong[22,23] ; Dai Yong[24] ; Lin Moubin[25] ; Zheng Jianyong[26] ; Tang Bo[27] ; He Xianli[28] ; Wang Hui[29] ; Liu Fanlong[30] ; Li Yongxiang[31] ; Zhou Dongbing[32] ; Zhang Wei[33] ; Ding Kefeng[34] ; Tong Weidong[35] ; He Guodong[36] ; Jing Changqing[37] ; Wu Bin[38] ; Wu Tao[39] ; Dong Ming[40] ; Li Zhifei[41] ; Shen Zhanlong[42] ; Wei Hongbo[43] ; Bai Lian[44] ; Hu Zhiqian[45] ; Tu Shiliang[46] ; Qiu Jian[47] ; Sun Xuejun[48] ; Li Ang[49] ; Zhuang Jing[50] ; Yan Su[51] ; Bonjer Hendrik[52] ; Tuynman Jurriaan[52] ; Yao Hongwei[1,*1] ; Zhang Zhongtao[1,*1] ; the RHC-SNAPSHOT investigators[1] ;
机构： [1]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center of Digestive Diseases, Beijing, China. [2]Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. [3]Department of Geriatric Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. [4]Department of Gastrointestinal Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. [5]Department of Colorectal Oncology, Fourth General Surgery Department, Shengjing Hospital, China Medical University, Shenyang, China. [6]Department of Colorectal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [7]Department of General Surgery, China-Japan Friendship Hospital, Beijing, China. [8]Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. [9]Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China. [10]Department of General Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China. [11]Department of Gastrointestinal Surgery, The First Hospital of Shanxi Medical University, Taiyuan, China. [12]Department of Gastrointestinal Surgery, Beijing Hospital, National Center of Gerontology, Beijing, China. [13]Department of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China. [14]Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. [15]Department of General Surgery, First Affiliated Hospital of Soochow University, Soochow, China. [16]Department of Gastric and Colorectal Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, China. [17]Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [18]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. [19]Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. [20]Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [21]Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. [22]Department of Gastrointestinal Surgery, Guangdong Provincial People's Hospital, Guangzhou, China. [23]Department of General Surgery, Guangdong Provincial People's Hospital, Guangzhou, China. [24]Department of General Surgery, Qilu Hospital of Shandong University, Jinan, China. [25]Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China. [26]Department of Gastrointestinal Surgery, The First Affiliated Hospital of Air Force Military Medical University, Xi'an, China. [27]Department of General Surgery, Center for Minimally Invasive Gastrointestinal Surgery, Southwest Hospital, Third Military Medical University, Chongqing, China. [28]Department of General Surgery, Tangdu Hospital, The Air Force Medical University, Xi'an, China. [29]Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. [30]Department of Colorectal Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. [31]Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China. [32]Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong, China. [33]Department of Colorectal Surgery, Changhai Hospital, Navy Military Medical University, Shanghai, China. [34]Department of Colorectal Surgery and Oncology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. [35]Department of General Surgery, Daping Hospital, Army Medical University, Chongqing, China. [36]Department of Colorectal Surgery, Zhongshan hospital, Fudan University, Shanghai, China. [37]Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. [38]Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [39]Department of General Surgery, Peking University First Hospital, Beijing, China. [40]Department of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, China. [41]Department of General Surgery, Peking University Third Hospital, Beijing, China. [42]Department of Gastroenterological Surgery, Peking University People's Hospital, Beijing, China. [43]Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. [44]Department of Gastrointestinal Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing, China. [45]Department of Gastrointestinal Surgery, Tongji Hospital, Medical College of Tongji University, Shanghai, China. [46]General Surgery, Cancer Center, Department of Colorectal Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China. [47]Department of General Surgery, Shaanxi Provincial People's Hospital, Xi'an, China. [48]Department of General Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. [49]Department of General Surgery, Xuanwu hospital Capital Medical University, Beijing, China. [50]Department of General Surgery, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. [51]Department of Gastrointestinal Surgery (Surgical Oncology), Affiliated Hospital of Qinghai University, Xining, China. [52]Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
出处：
DOI： 10.1093/bjs/znad316
ISSN：

摘要：
Right hemicolectomy is the standard treatment for right-sided colon cancer. There is variation in the technical aspects of performing right hemicolectomy as well as in short-term outcomes. It is therefore necessary to explore best clinical practice following right hemicolectomy in expert centres.This snapshot study of right hemicolectomy for colon cancer in China was a prospective, multicentre cohort study in which 52 tertiary hospitals participated. Eligible patients with stage I-III right-sided colon cancer who underwent elective right hemicolectomy were consecutively enrolled in all centres over 10 months. The primary endpoint was the incidence of postoperative 30-day anastomotic leak.Of the 1854 patients, 89.9 per cent underwent laparoscopic surgery and 52.3 per cent underwent D3 lymph node dissection. The overall 30-day morbidity and mortality were 11.7 and 0.2 per cent, respectively. The 30-day anastomotic leak rate was 1.4 per cent. In multivariate analysis, ASA grade > II (P < 0.001), intraoperative blood loss > 50 ml (P = 0.044) and D3 lymph node dissection (P = 0.008) were identified as independent risk factors for postoperative morbidity. Extracorporeal side-to-side anastomosis (P = 0.031), intraoperative blood loss > 50 ml (P = 0.004) and neoadjuvant chemotherapy (P = 0.004) were identified as independent risk factors for anastomotic leak.In high-volume expert centres in China, laparoscopic resection with D3 lymph node dissection was performed in most patients with right-sided colon cancer, and overall postoperative morbidity and mortality was low. Further studies are needed to explore the optimal technique for right hemicolectomy in order to improve outcomes further.© The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd.

基金：
National Key Technologies R&D Program (No. 2015BAI13B09), National Key Technologies R&D Program of China (No. 2017YFC0110904), Clinical Center for Colorectal Cancer, Capital Medical University (No. 1192070313).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 1 区 医学
小类 | 1 区 外科
最新[2023]版：
大类 | 1 区 医学
小类 | 1 区 外科
JCR分区：
出版当年[2022]版：
Q1 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center of Digestive Diseases, Beijing, China.
共同第一作者：
通讯作者：
通讯机构： [1]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center of Digestive Diseases, Beijing, China. [*1]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center of Digestive Diseases, No.95 Yongan Road, Xicheng District, Beijing 100050, China
推荐引用方式(GB/T 7714)：
Gao Jiale,Gu Xiaodong,Pang Minghui,et al.Risk factors for anastomotic leak and postoperative morbidity after right hemicolectomy for colon cancer: results from a prospective, multi-centre, snapshot study in China[J].BRITISH JOURNAL OF SURGERY.2024,111(1):doi:10.1093/bjs/znad316.
APA：
Gao Jiale,Gu Xiaodong,Pang Minghui,Zhang Hong,Lian Yugui...&the RHC-SNAPSHOT investigators.(2024).Risk factors for anastomotic leak and postoperative morbidity after right hemicolectomy for colon cancer: results from a prospective, multi-centre, snapshot study in China.BRITISH JOURNAL OF SURGERY,111,(1)
MLA：
Gao Jiale,et al."Risk factors for anastomotic leak and postoperative morbidity after right hemicolectomy for colon cancer: results from a prospective, multi-centre, snapshot study in China".BRITISH JOURNAL OF SURGERY 111..1(2024)

资源点击量：16461 今日访问量：0 总访问量：871 更新日期：2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持：重庆聚合科技有限公司 地址：北京市西城区长椿街45号宣武医院