Predictors of postoperative morbidity after cytoreduction for advanced XXXX : Analysis and management of complications in upper abdominal surgery.

@entity1 @entity43 @entity41
OBJECTIVE: To evaluate the complication rate and its impact in @entity1 who have undergone upper abdominal surgery for treatment of advanced @entity43 . METHODS: @entity1 who have undergone upper abdominal surgery including diaphragm surgery, splenectomy, distal pancreatectomy, gastric resection, liver resection and biliary surgery were considered for the study. Perioperative complications were evaluated and graded according to Clavien-Dindo. RESULTS: One hundred and twenty one @entity1 were included. Two hundred and twelve surgical procedures were performed. Thirty-six @entity1 reported at least one complication, but 61.1% of these the complication was mild. Median hospital stay for @entity1 with and without complication was 7 vs. 13days respectively (p<0.001). There was a significant correlation between post-operative hospital stay and the total number of surgical procedures (R=0.445, p<0.001). At multivariate analysis, diaphragmatic resection and pancreatic resection were associated with a significant increase of postoperative hospital stay, furthermore diaphragmatic resection (p=0.004), hepatic resection (p=0.004), pancreatectomy (p=0.011) and biliary surgery (p=0.049) were independent predictors of severe (G3-G4) complication. CONCLUSIONS: Rate of complications of @entity1 submitted to upper abdominal surgery for @entity43 is acceptable. Prediction of severe complications is the goal for its optimal management. Extensive procedures should be avoided with those @entity1 in which optimal @entity41 could not be reached.
