Article ; Online: Application of the REAL-score prognostic index in decision making in rectal cancer surgery.
2023 Volume 91, Issue 5, Page(s) 690–697
Abstract: Background: Colorectal anastomosis leak (AL) is the most feared complication of rectal cancer surgery (1-19%) as it increases morbidity and mortality and worsens oncological outcomes in terms of local recurrence and survival. The publication of the REAL- ...
Title translation | Aplicación del índice pronóstico REAL-score en la toma de decisiones en cirugía del cáncer de recto. |
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Abstract | Background: Colorectal anastomosis leak (AL) is the most feared complication of rectal cancer surgery (1-19%) as it increases morbidity and mortality and worsens oncological outcomes in terms of local recurrence and survival. The publication of the REAL-score index makes it possible to predict the risk of AL and compare the expected results with those obtained. Method: Observational, descriptive, longitudinal and retrospective study of patients operated on for rectal cancer at the Miguel Servet University Hospital, in Zaragoza, Spain, in 2019. Statistical analysis of morbidity and mortality outcome variables and the REAL-score index using ROC curves. Results: Of 80 patients operated on for rectal cancer, colorectal anastomosis was performed in 52 and temporary ileostomy in 11 (21.2%). Morbidity was high (38.4%), but severe only in 7.7% (Clavien-Dindo IIIb), with no deaths. There were four dehiscences: one type B and three type C. A direct relationship between high risk of AL and the practice of temporary stoma is observed when the cut-off point of the REAL-score exceeds 14.74%. Conclusions: REAL-score can help in decision-making in rectal cancer surgery. Above a cut-off point, the risk of AL would imply a selective ileostomy. |
MeSH term(s) | Humans ; Anastomosis, Surgical ; Anastomotic Leak/etiology ; Decision Making ; Ileostomy/adverse effects ; Prognosis ; Rectal Neoplasms/surgery ; Rectal Neoplasms/complications ; Retrospective Studies |
Language | English |
Publishing date | 2023-10-16 |
Publishing country | Mexico |
Document type | Journal Article ; Observational Study |
ZDB-ID | 730699-4 |
ISSN | 2444-054X ; 0009-7411 |
ISSN (online) | 2444-054X |
ISSN | 0009-7411 |
DOI | 10.24875/CIRU.22000309 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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