Risk factors for postoperative complications in patients on maintenance hemodialysis who undergo abdominal surgery

Ito, Tomoaki; Maekawa, Hiroshi; Sakurada, Mutsumi; Orita, Hajime; Kushida, Tomoyuki; Senuma, Koji; Sato, Koichi

doi:10.1016/j.asjsur.2015.03.013

Cited by 12 publications

(13 citation statements)

References 20 publications

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“…Minimally invasive surgery might decrease postoperative complications for hemodialysis patients, because greater blood loss and longer surgical time worsen postoperative outcomes [54]. Although there is no evidence regarding surgical procedure, we avoid pneumonectomy when possible, to limit the possibility of hypostasis.…”

Section: Resultsmentioning

confidence: 99%

Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi

Shibano

Endo

2017

Gen Thorac Cardiovasc Surg

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ObjectivesTo improve surgical outcomes, clinicians must provide optimal perioperative care for comorbidities identified as significant factors in risk models for patients undergoing lung cancer surgery.MethodsWe reviewed trends in perioperative care for idiopathic pulmonary fibrosis, cardiovascular diseases, and end-stage renal diseases in patients undergoing lung cancer surgery, as large clinical databases indicate that these comorbidities are significant risk factors for lung cancer surgery. Articles identified by keyword searches were included in the analysis.ResultsSignificant predictive factors for acute exacerbation of idiopathic pulmonary fibrosis were identified. However, no effective perioperative care was identified for prevention of acute exacerbation of interstitial pneumonia. The timing of coronary revascularization and antithrombotic management for cardiovascular diseases are subjects of ongoing research, and acid–base balance is essential in the management of hemodialysis patients with end-stage renal diseases.ConclusionsTo improve surgical outcomes for lung cancer patients, future studies should continue to study optimal perioperative management of comorbidities.

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Section: Resultsmentioning

confidence: 99%

Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi

Shibano

Endo

2017

Gen Thorac Cardiovasc Surg

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“…4 In addition, HD patients are at increased risk for postoperative complications, according to previous studies. 5,6 The morbidity and mortality rates of HD patients who undergo abdominal surgery range from 39.0% to 41.8% and 5.7% to 24.0%, respectively. [6][7][8][9] Gastric cancer is the fifth most common cancer and is the third leading cause of cancer death worldwide.…”

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confidence: 99%

“…5,6 The morbidity and mortality rates of HD patients who undergo abdominal surgery range from 39.0% to 41.8% and 5.7% to 24.0%, respectively. [6][7][8][9] Gastric cancer is the fifth most common cancer and is the third leading cause of cancer death worldwide. 10 In a previous study, we described 36 HD patients who underwent abdominal surgery for various gastrointestinal diseases, including gastric cancer.…”

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confidence: 99%

“…10 In a previous study, we described 36 HD patients who underwent abdominal surgery for various gastrointestinal diseases, including gastric cancer. 6 Of these 36 patients, 8 had received a diagnosis of gastric cancer. It is important to carefully manage patients with gastric cancer who undergo gastrectomy.…”

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confidence: 99%

“…In this study, we report on 6 of the 8 previously described HD patients with gastric cancer. 6 Of these 8 patients, 2 were excluded from this study because of postoperative complications and loss to follow-up. All 6 study patients underwent gastrectomy for gastric cancer at the Department of Surgery, Juntendo Shizuoka Hospital, between November 2003 and December 2011.…”

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Gastric Cancer Patients Receiving Maintenance Hemodialysis After Surgery With and Without Postoperative Chemotherapy: A Case Series of 6

Ito

Maekawa

Sakurada

et al. 2018

International Surgery

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Background: The management of gastric cancer patients who received gastrectomy and/or postoperative chemotherapy is of high importance. However, the safety and efficacy of chemotherapy in hemodialysis patients have not been established. In this study, we report 6 cases of hemodialysis patients who underwent gastrectomy for gastric cancer. Case Presentation: The presented cases included 5 men and 1 woman, with a mean age of 66.3 years (range, 59-74 years). All patients underwent standard laparotomy, with 3 of 6 patients (50%) experiencing postoperative complications. Three patients who did not experience any postoperative complications could receive subsequent chemotherapy. S-1 chemotherapy regimen and uracil and tegafur chemotherapy regimen were administered to 1 and 2 patients, respectively. These 3 patients did not experience any chemotherapyrelated side effects. Among the 4 patients who received a diagnosis of pathologic stages II to III, 2 patients treated with postoperative chemotherapy achieved better prognoses than those who did not receive chemotherapy (mean, 25.5 versus 5.0 months). Discussion and Conclusion: Hemodialysis patients with gastric cancer who received gastrectomy exhibited a high morbidity rate. Postoperative chemotherapy can be performed immediately after surgery in patients who do not experience postoperative complications. S-1 regimen and uracil and tegafur regimen could be administered safely in hemodialysis patients. Postoperative chemotherapy may lead to a good prognosis in gastric cancer patients receiving hemodialysis.

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Comparative analysis of short- and long-term outcomes in laparoscopic versus open surgery for colorectal cancer patients undergoing hemodialysis

Hung,

Huang,

Tsai

et al. 2024

Langenbecks Arch Surg

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Purpose Although minimally invasive colorectal surgery has been proven to have a shorter hospital stay and fewer short-term complications than open surgery, the advantages of laparoscopic surgery for colorectal cancer patients undergoing hemodialysis have not been validated. This study compared the outcomes of open and laparoscopic approaches in these patients. Materials and methods Between January 2007 and December 2020, we retrospectively analyzed the clinical data of 78 hemodialysis patients who underwent curative-intent, elective colorectal surgery. Patients were divided into two groups according to the surgical method: open and laparoscopic. Results Postoperative morbidity ( p = 0.480) and mortality ( p = 0.598) rates and length of hospital stay (28.8 vs. 27.5 days, p = 0.830) were similar between the groups. However, laparoscopic surgery patients had a shorter return to clear liquid, full liquid, or soft food time than open surgery patients ( p < 0.001, p = 0.007, and p = 0.002, respectively). Disease-free survival and long-term cancer-specific survival rates were also similar between the two groups ( p = 0.353 and p = 0.201, respectively). Multivariate analysis revealed that intraoperative blood transfusion was a risk factor for severe complications and mortality (OR 6.055; p = 0.046), and the odds ratio (OR) of laparoscopic surgery was not significantly greater than that of open surgery (OR = 0.537, p = 0.337). Conclusion Although laparoscopic surgery did not result in hemodialysis patients having a shorter postoperative hospital stay, our results suggest that the laparoscopic approach is as safe as open surgery for hemodialysis patients and may be beneficial for shortening the return time to food intake.

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Risk factors for postoperative complications in patients on maintenance hemodialysis who undergo abdominal surgery

Cited by 12 publications

References 20 publications

Recommendations for perioperative management of lung cancer patients with comorbidities

Recommendations for perioperative management of lung cancer patients with comorbidities

Gastric Cancer Patients Receiving Maintenance Hemodialysis After Surgery With and Without Postoperative Chemotherapy: A Case Series of 6

Comparative analysis of short- and long-term outcomes in laparoscopic versus open surgery for colorectal cancer patients undergoing hemodialysis

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