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Effect of hemodialysis on short-term outcomes after colon cancer surgery

Author

Listed:
  • Toshio Shiraishi
  • Tetsuro Tominaga
  • Takashi Nonaka
  • Shintaro Hashimoto
  • Kiyoaki Hamada
  • Masato Araki
  • Yorihisa Sumida
  • Hiroaki Takeshita
  • Hidetoshi Fukuoka
  • Hideo Wada
  • Kazuo To
  • Mariko Yamashita
  • Kenji Tanaka
  • Terumitsu Sawai
  • Takeshi Nagayasu

Abstract

Background: Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. Methods: This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. Results: Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384–7.5730; p = 0.026). Conclusion: Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients.

Suggested Citation

  • Toshio Shiraishi & Tetsuro Tominaga & Takashi Nonaka & Shintaro Hashimoto & Kiyoaki Hamada & Masato Araki & Yorihisa Sumida & Hiroaki Takeshita & Hidetoshi Fukuoka & Hideo Wada & Kazuo To & Mariko Yam, 2022. "Effect of hemodialysis on short-term outcomes after colon cancer surgery," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-10, January.
    • Handle: RePEc:plo:pone00:0262531
    DOI: 10.1371/journal.pone.0262531
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