Perioperative medicine & outcomes

Safety profile of a multimodal fail-safe model to minimize postoperative complications in oncologic colorectal resections—a cohort study

Perioper Med (Lond)Published Cohort study

Authors' conclusion

The fail-safe model showed less postoperative complications even for low rectal anastomosis.

Study context

Population
Patients with colorectal cancer undergoing surgical resection with anastomosis924 operated in total
Participants
696 patients
Exposure
Multimodal fail-safe model vs control
  • Fail-safen = 510
  • Controln = 186reference
Outcome
Major complications (Dindo-Clavien grade IIIb-V)
Methodological detailshistorical control comparison, Operations: 427 (61.4%) laparoscopic, 230 (33.0%) open, 39 (5.6%) converted laparoscopic
  • Historical control comparison
  • Operations: 427 (61.4%) laparoscopic, 230 (33.0%) open, 39 (5.6%) converted laparoscopic

Main finding

As reported in the abstract

P < 0.0001

Observational data: associations, not effects.

Safety

Anastomotic leakage

P < 0.0001

Original publication

Safety profile of a multimodal fail-safe model to minimize postoperative complications in oncologic colorectal resections—a cohort study. Perioper Med (Lond). Published 11 March 2023. doi:10.1186/s13741-023-00291-6

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