What is it about?
This paper highlights variables that influence postoperative period in severe oncologic patients after extensive surgery (Cytoreductive Surgery) and hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal metastasis.
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Why is it important?
We prospectively maintained a database in our Institution during a 17-year period from November 2000 to December 2017 (421 patients). We select 200 patients who fulfilled the inclusion criteria and describe statistical correlations between risk factors and postoperative complications rates (univariate analysis). Nutritional status was evaluated as a risk factor for the development of infectious complications and assessed by providing each patient with a Subjective Global Assessment (SGA) form, defining 3 groups (well nourished, mildly moderately malnourished and severely malnourished).
Perspectives
This paper is crucial in understanding how perioperative care impacts patients' outcome. Any single detail is mandatory along this pathway and is a surgeon's responsibility to focus on patient "prehabilitation" including nutritional aspects.
Francesco Di Marzo
Azienda Usl Toscana Nord Ovest - Ospedale Versilia
Read the Original
This page is a summary of: Prognostic Factors Influencing Infectious Complications after Cytoreductive Surgery and HIPEC: Results from a Tertiary Referral Center, Gastroenterology Research and Practice, May 2019, Hindawi Publishing Corporation,
DOI: 10.1155/2019/2824073.
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