Examinando por Materia "Complicaciones postoperatorias"

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Mechanical vs. Manual Anastomosis: A Comparative Analysis of Postoperative Complications in Colon Cancer Patients at Guillermo Almenara Hospital in 2023
(Universidad Privada Norbert Wiener, 2023-09-10) Vasquez Moori, Angelo Fabrizio; Contreras Pulache, Hans Lenin
Introduction: Colorectal cancer represents a significant public health concern. Resection is the only curative treatment, but its complications significantly affect morbidity and mortality. In Peru, there are few comparative reviews on post-surgical complications related to the type of intestinal anastomosis (mechanical vs. manual). Objective: To compare post-operative complications between mechanical and manual anastomosis in patients with colon cancer operated on at the Guillermo Almenara Irigoyen National Hospital (HNGAI) in 2023. Method: A retrospective, observational, and analytical study was conducted using electronic medical records of 60 post-operative patients with mechanical and manual anastomosis. Results: No significant differences were found in the incidence of post-operative complications between the techniques (p=0.357), nor in specific complications such as ileus, ISO, and dehiscence. Predictors of dehiscence were identified, including perioperative transfusion (p=0.044) and a CRP value on the third post-operative day (PO3) ≥140 mg/l (p=0.012). Conclusions: Neither technique showed superiority in terms of post-operative complications. Both techniques are equally effective, and the choice will depend on individual factors, material availability, and surgeon preferences. Perioperative transfusion and elevated CRP in the post-operative period could predict complications such as anastomotic leakage.