BACKGROUND: The association of @entity260 with long-term oncologic outcomes remains unclear. We sought to determine the incidence of complications among @entity1 who underwent surgery for @entity1636 ( @entity1636 ) and define the relationship of morbidity with long-term survival. METHODS: @entity1 who underwent surgery for @entity1636 between 1993 and 2014 were identified from 13 academic institutions participating in the US @entity1636 group study. The incidence and @entity260 , the factors associated with them as well their association with long-term survival were analyzed. RESULTS: A total of 265 @entity1 with median age of 52  years (IQR 44-63) were identified; at surgery, the majority of @entity1 underwent an open abdominal procedure (n  =  169, 66.8  %). A @entity260 occurred in 99 @entity1 for a morbidity of 37.4  %; five @entity1 (1.9  %) died in hospital. Factors associated with morbidity included a thoraco-abdominal operative approach (reference: open abdominal; OR 2.85, 95  % CI 1.00-8.18), and a hormonally functional @entity5 (OR 3.56, 95  % CI 1.65-7.69) (all P  <  0.05). Presence of any complication was associated with a worse long-term outcome (median survival: no complication, 58.9  months vs. any complication, 25.1  months; P  =  0.009). In multivariate analysis, after adjusting for @entity1 - and disease-related factors postoperative infectious complications independently predicted shorter overall survival (hazard ratio (HR) 5.56, 95  % CI 2.24-13.80; P  <  0.001). CONCLUSION: @entity260 were independently associated with decreased long-term survival after resection for @entity1636 . The prevention of complications may be important from an oncologic perspective.

Incidence of Perioperative Complications Following Resection of XXXX and Its Association with Long-Term Survival.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1636 :: ('MESH:D018268', 'Disease') :: ['ACC', 'adrenocortical carcinoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'Postoperative complications', 'postoperative complication', 'type of the postoperative complications']
@entity1636 :: (MESH:D018268,Disease) :: ['Adrenocortical Carcinoma']
