2016, Number 1
<< Back Next >>
Revista Cubana de Cirugía 2016; 55 (1)
Postoperative complications in thoracic and abdominal surgery: definitions, epidemiology and severity
Martos BFD, Guzmán BBI, Betancourt PI, González MI
Language: Spanish
References: 63
Page: 40-53
PDF size: 132.64 Kb.
ABSTRACT
Postoperative complications in patients undergoing thoracic or abdominal major
surgery are frequent events associated with a poor evolution. The aim of this paper
is to clarify the definitions, epidemiological characteristics and classifications postoperative complications severity in most thoracic and abdominal surgery.
A literature review on postoperative complications in most thoracic and abdominal
surgery was carried out. Definitions are stated regarding postoperative
complications. Reports are discussed concerning the incidence and mortality of the
most important complications. Finally, the main tools for postoperative
complications severity classification are discussed. Postoperative complications are
frequent events that increase complications and mortality. Risk stratification tools
should be applied, their appearance and severity should be closely monitored, as
well as to act quickly and timely for a solution.
REFERENCES
Haynes AB, Weiser ThG, Berry WR, Lipsitz SR, Breizat AHS, Dellinger EP, et al. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. N Engl J Med. 2009;360(5):491-9.
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372(9633):139-44.
Zegers M, de Bruijne MC, de Keizer B, Merten H, Groenewegen PP, van der Wal G, et al. The incidence, root-causes, and outcomes of adverse events in surgical units: implication for potential prevention strategies. Patient Safety in Surgery. 2011;5(1):13.
Mendes W, Pavão AL, Martins M, Moura MD, Travassos C. The feature of preventable adverse events in hospitals in the State of Rio de Janeiro, Brazil. Rev Assoc Med Bras. 2013;59(5):421-8.
Bosma E, Veen EJ, de Jongh MAC, Roukema JA. Variable impact of complications in general surgery: a prospective cohort study. Can J Surg. 2012;55(2):163-70.
Kievit J, Krukerink M, Marang-van de Mheen PJ. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care.2010;19(2):20.
Ibrahim A, Garba ES, Asuku ME. Challenges indisclosure of adverse events and errors in surgery; perspectives from sub-Saharan Africa. Pan African Medical Journal. 2012;12(1):82.
Dries DJ, Langness DM, Rydrych D. Errors in acute surgery: a statewide hospital survey. Scan J Trauma Resusc Emerg Med. 2009[citado 2014 Ago 19];17(S3):31.
Betancourt Cervantes JR. Nuevo índice predictivo para relaparotomías [Tesis]. La Habana: Instituto Superior de Medicina Militar “Dr. Luis Díaz Soto”; 2008. Disponible en: http://www.tesis.repo.sld.cu/173/1/Betancourt_Julio.pdf
Rodríguez Fernández Z, Wendy G, Matos Tamayo ME, Romero García LI, Mustelier Ferrer HL. Mortalidad y reintervenciones en cirugía general. MEDISAN [revista en la Internet]. 2012 Nov [citado 2014 Ago 19];16(11):1676-89. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192012001100004&lng=es .
Devereaux PJ, Xavier D, Pogue J, Guyatt G, Sigamani A, Garutti I, et al. Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study. Ann Intern Med. 2011;154:523-8.
The VISION Pilot Study Investigators. An international prospective cohort study evaluating major vascular complications among patients undergoing noncardiacsurgery: the VISION Pilot Study. Open Med. 2011;5(4):e193-e200.
Devereaux PJ, Goldman L, Cook DJ, Gilbert K, Leslie K, Guyatt HG. Perioperative cardiac events in patients undergoing noncardiac surgery: A review of the magnitudeof the problem, the pathophysiology of the events and methods to estimate and communicate risk. CMAJ. 2005;173:627-34.
Braz LG,> Módolo NSdo Nascimento P JrBruschi BACastiglia YMGanem EM, et al. Perioperative cardiac arrest: a study of 53,718 anaesthetics over 9 yr from a Brazilian teaching hospital. Br J Anaesth. 2006;96:569-75.
Tisdale JE, Wroblewski HA, Kesler KA. Prophylaxis of atrial fibrillation after noncardiac thoracic surgery. Semin Thorac Cardiovasc Surg. 2010;22:310-20.
Merritt RE, Shrager JB. Prophylaxis and management of atrial fibrillation after general thoracic surgery. Thorac Surg Clin. 2012;22:13-23.
Imperatori A, Mariscalco G, Riganti G, Rotolo N, Conti V, Dominioni L. Atrial fibrillation after pulmonary lobectomy for lung cancer affects long-term survival in a prospective single-center study. J Cardiothorac Surg. 2012;7(2):4.
Cooper L. Postoperative Complications after Thoracic Surgery in the Morbidly Obese Patient. Anesthesiol Res Pract [revista en la Internet]. 2011 Nov [citado 2014 Ago 19]; 2011: [4 p.] ID 865634. doi:10.1155/2011/865634
Gupta H, Gupta PK, Fang X, Miller WJ, Cemaj S, Forse RA, et al. Development and Validation of a Risk Calculator Predicting Postoperative Respiratory Failure. CHEST. 2011;140:1207-15.
Bajwa SJS, Kulshrestha A. Diagnosis, Prevention and Management of Postoperative Pulmonary Edema. Ann Med Health Sci Res. 2012;2(2):180-5.
Blum JM, Stentz MJ, Dechert R, Jewell E, Engoren M, Rosenberg AL, et al. Preoperative and Intraoperative Predictors of Postoperative Acute Respiratory Distress Syndrome in a General Surgical Population. Anesthesiology. 2013;118:19-9.
Hua M, Brady J, Li G. A Scoring System to Predict Unplanned Intubation in Patients Having Undergone Major Surgical Procedures. Anesth Analg. 2012;115:88-94.
Dennen P, Douglas I, Anderson R. Acute kidney injury in the intensive care unit: An update and primer for the intensivist. Crit Care Med. 2010;38:261-75.
Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Inter Suppl. 2012;2:1-138.
Argalious MY, Dalton JE, Sreenivasalu T, O'Hara J, Sessler DI. The association of preoperative statin use and acute kidney injury after noncardiac surgery. Anesth Analg2013; 117: 916-23.
Fidalgo PAhmed M Meyer SR Lien DWein kauf J Kapasi A, et al. Association between transient acute kidney injury and morbidity and mortality after lung transplantation: A retrospective cohort study. J Crit Care. 2014;29(6):1028-34.
Romagnoli S, Ricci Z. Postoperative acute kidney injury. Minerva Anestesiol. 2015;81:684-96.
Mao H, Katz N, Ariyanon W, Blanca-Martos L, Adýbelli Z, Giuliani A, et al. Cardiac surgery-associated acute kidney injury. Blood Purif. 2014;37(S2):34-50.
Deiner S, Silverstein JH. Postoperative delirium and cognitive dysfunction. Br J Anaesth. 2009;103(S1):i41-i6.
McDaniel M, Brudney C. Postoperative delirium: etiology and management. Curr Opin Crit Care. 2012;18:372-6.
Collins N, Blanchard MR, Tookman A. Detection of delirium in the acute hospital. Age Ageing. 2010;39:131-5.
Zhang H, Lu Y, Liu M, Zou Z, Wang L, Xu FY, et al. Strategies for prevention of postoperative delirium: a systematic review and meta-analysis of randomized trials. Crit Care. 2013;17:R47.
Khan BA, Zawahiri M, Campbell NL, Fox GC, Weinstein EJ, Nazir A, et al. Delirium in Hospitalized Patients: Implications of Current Evidence on Clinical Practice and Future Avenues for Research—A Systematic Evidence Review. J Hosp Med. 2012;7(7):580-9.
Witlox J, Eurelings LS, de Jonghe JF, Kalisvaart KJ, Eikelenboom P, van Gool WA. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA. 2010;304:443-51.
Saczynski JS, Marcantonio ER, Quach L, Fong TG, Gross A, Inouye SK, et al. Cognitive trajectories after postoperative delirium. N Engl J Med. 2012;367:30-9.
Leslie DL, Marcantonio ER, Zhang Y, Leo-Summers L, Inouye SK: One-year health care costs associated with delirium in the elderly population. Arch Intern Med. 2008;168:27-32.
Krenk L, Rasmussen LS. Postoperative delirium and postoperative cognitive dysfunction in the elderly - what are the differences? Minerva Anestesiol. 2011;77:742-9.
Rudolph JL,Marcantonio ER. Postoperative Delirium: Acute Change with Long- Term Implications. Anesth Analg. 2011;112:1202-11.
Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK,et al. Clinical practice guidelines forantimicrobial prophylaxis in surgery. Am J Health-Syst Pharm. 2013;70:195-283.
Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Postoperative sepsis in the United States. Ann Surg. 2010;252:1065-71.
Lawson EH, Hall BL, Ko CY. Risk Factors for Superficial vs Deep/Organ-Space Surgical Site Infections: Implications for Quality Improvement Initiatives. JAMA Surg. 2013;148:849-58.
Rosenthal VD, Richtmann R, Singh S, Apisarnthanarak A, Kübler A, Viet-Hung N, et al. Surgical site infections, International Nosocomial Infection Control Consortium (INICC) report, data summary of 30 countries, 2005-2010. Infect Control Hosp Epidemiol. 2013;34:597-604.
Mawalla B, Mshana SE, Chalya Ph L, Imirzalioglu C, Mahalu W. Predictors of surgical site infections among patients undergoing major surgery at Bugando Medical Centre in Northwestern Tanzania. BMC Surgery. 2011;11:21.
van Ramshorst GH, Nieuwenhuizen J, Hop WCJ, Arends P, Boom J, Jeekel J, et al. Abdominal Wound Dehiscence in Adults: Development and Validation of a Risk Model. World J Surg. 2010;34:20-7.
Komen N, Dijk JW, Lalmahomed Z, Klop K, Hop W, Kleinrensink GJ, et al. Afterhours colorectal surgery: a risk factor for anastomotic leakage. Int J Colorectal Dis. 2009;24:789-95.
Oprescu C, Beuran M, Nicolau AE, Negoi I, Venter MD, Morteanu S, et al. Anastomotic dehiscence (AD) in colorectal cancer surgery: mechanical anastomosis versus manual anastomosis. J Med Life. 2012;5(4):444-51.
Daams F, Luyer M, Lange JF. Colorectal anastomotic leakage: Aspects of prevention, detection and treatment. World J Gastroenterol. 2013;19(15):2293-7.
Choi DH, Hwang JK, Ko YT, Jang HJ, Shin HK, Lee YCh, et al. Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection. J Korean Soc Coloproctol. 2010;26:265-73.
Tabatabai A, Hashemi M, Mohajeri G, Ahmadinejad M, Khan IA, Haghdani S. Incidence and risk factors predisposing anastomotic leak after transhiatalesophagectomy. Ann Thorac Med. 2009;4(4):197-200.
Li XH, Hu Y, Rong TH, Li XD, Su XD, Yang H, et al. Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy. Oncology Letters. 2013;5:198-200.
Tong ChY, Lim LL, Brody RA. High output enterocutaneous fistula: a literature review and a case study. Asia Pac J Clin Nutr. 2012;21:464-9.
Owen RM, Love TP, Perez SD, Srinivasan JK, Sharma J, Pollock JD, et al. Definitive surgical treatment of enterocutaneous fistula: outcomes of a 23-year experience. JAMA Surg. 2013;148:118-26.
Kumar P, Maroju NK, Kate V. Enterocutaneous Fistulae: Etiology, Treatment, and Outcome – A Study from South India. Saudi J Gastroenterol. 2011;17(6):391-5.
Wellner UF, Kayser G, Lapshyn H, Sick O, Makowiec F, Höppner J, et al. A simple scoring system based on clinical factors related to pancreatic texture predicts postoperative pancreatic fistula preoperatively. HPB. 2010;12:696-702.
Reddymasu SC, Pakseresht K, Moloney B, Alsop B, Oropezia-Vail M, Olyaee M. Incidence of Pancreatic Fistula after Distal Pancreatectomy and Efficacy of Endoscopic Therapy for Its Management: Results from a Tertiary Care Center. Case Rep Gastroenterol. 2013;7:332-9.
Machado NO. Pancreatic Fistula after Pancreatectomy: Definitions, Risk Factors, Preventive Measures, and Management—Review. Int J Surg Oncol. 2012;2012:60.
Naranjo Gómez JM, Carbajo Carbajo M, Valdivia Concha D, Campo-Cañaveral de la Cruz JL. Conservative treatment of post-lobectomy bronchopleural fistula. Inter CardioVas Thor Surg. 2012;15:152-4.
Clavien PA, Sanabria JR, Strasberg SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery. 1992;111:518-26.
Strasberg SM, Linehan DC, Hawkins WC. The accordion severity grading system of surgical complications. Ann Surg. 2009;250:177-86.
Landriel Ibañez FA, Hem S, Ajler P, Vecchi E, Ciraolo C, Baccanelli M, et al. A New Classification of Complications in Neurosurgery. World Neurosurgery. 2011;75:709-15.
Sink EL, Leunig M, Zaltz I, Gilbert JC, Clohisy J. Reliability of a complication classification system for orthopaedic surgery. Clin Orthop Relat Res. 2012;470:2220-6.
Iorio R, Della Valle CJ, Healy WL, Berend KR, Cushner FD, Dalury DF, et al. Stratification of Standardized TKA Complications and Adverse Events: A Brief Communication. Clin Orthop Relat Res. 2014;472:194-205.
Porembka MR, Hall BL, Hirbe M, Strasberg SM. Quantitative weighting of postoperative complications based on the accordion severity grading system: demonstration of potential impact using the American College of Surgeons National Surgical Quality Improvement Program. J Am Col Surg. 2010;210:286-98.