Preoperative smoking status was not observed to be associated with postoperative mortality , cardiovascular complications , bleedings , anastomotic leakage , or allograft rejection .
CONCLUSIONS Preoperative smoking was found to be associated with an increased risk of the following postoperative complications : general morbidity , wound complications , general infections , pulmonary complications , neurological complications , and admission to the intensive care unit
OBJECTIVE To systematic ally review and summarize the evidence of an association between preoperative smoking status and postoperative complications elaborated on complication type .
BACKGROUND The conclusions of studies examining the association between preoperative smoking and postoperative complications are inconsistent , thus there is a need for a review and meta- analysis to summarize the existing evidence .
Mortality and morbidity after surgery of mid and low rectal cancer. Results of a French prospective multicentric study.
BACKGROUND The aim of the study was to assess both mortality and morbidity following resection of mid and low rectal cancers in a French prospect i ve multicentric study . PATIENTS From June to September 2002 , consecutive patients undergoing resection for cancer of the mid- or lower rectum were prospect ively included in a multicentric study . Both postoperative mortality and morbidity were recorded . Multivariate statistical analysis was performed in order to assess risk factors predictive of postoperative morbidity . RESULTS 238 patients with a mean age of 66 + /- 13 years ( range : 26 - 88 ) were included .  Neoadjuvant radiotherapy was performed in 68 % of the patients . Total mesorectal excision was performed in 218 patients ( 92 % ) , of whom 151 ( 63 % ) had a sphincter saving procedure . Six patients died ( 2.5 % ) . Overall postoperative morbidity rate was 43 % , including anastomotic leakage ( 11 % ) and reoperation ( 5 % ) . Mean hospital-in-stay was 20 + /- 16 days ( range : 3191 ) . Four independent risk factors of morbidity were found : perioperative fecal contamination ( OR = 3.9 [ 1.1 ; 13.5 ] ) , mean operating time longer than 6 hours ( OR = 4.5 [ 1.7 ; 12.1 ] ) , ASA score > 2 ( OR = 3.2 [ 1.6 ; 7.9 ] ) , and smocking ( OR = 3.3 [ 1.2 ; 8.9 ] ) . CONCLUSIONS Resection of cancer involving the middle or lower rectum with sphincter saving procedures was possible in two-thirds of the patients and was associated with 2.5 % mortality and 43 % morbidity
Preoperative smoking status was not observed to be associated with postoperative mortality , cardiovascular complications , bleedings , anastomotic leakage , or allograft rejection .
CONCLUSIONS Preoperative smoking was found to be associated with an increased risk of the following postoperative complications : general morbidity , wound complications , general infections , pulmonary complications , neurological complications , and admission to the intensive care unit
OBJECTIVE To systematic ally review and summarize the evidence of an association between preoperative smoking status and postoperative complications elaborated on complication type .
BACKGROUND The conclusions of studies examining the association between preoperative smoking and postoperative complications are inconsistent , thus there is a need for a review and meta- analysis to summarize the existing evidence .