Effectiveness of colorectal laparoscopic surgery on patients at high anesthetic risk: an intervention cohort study

González, Iván; Fernández, Eudaldo M. López-Tomassetti; Piñero, Y. Hernández; Malagón, Antonio Martín; Durán, J. Arranz; Muñoz, S. Bethencourt; Díaz, Hermógenes; Carrillo, Ángel

doi:10.1007/s00384-007-0368-x

Cited by 10 publications

(3 citation statements)

References 16 publications

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“…All high-risk patients can tolerate the pneumoperitoneum and intraabdominal pressures, and none of these anesthetic problems required conversion to open surgery in this study. Arteaga González et al 8 found that laparoscopic surgery may be safe and feasible in high-risk patients, and here we add further evidence that LDP is feasible and effective in high anesthetic risk patients.…”

Section: Discussionsupporting

confidence: 50%

“…7 Based on combined improvements in anesthetic techniques and the increasing experience of surgical teams, findings of the feasibility and safety of laparoscopic surgery in several aspects were published in high anesthetic risk patients. 8 Nevertheless, knowledge regarding the response of patients at a high anesthetic risk during lengthy and technically demanding LDP is scarce.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness and Feasibility of Laparoscopic Distal Pancreatectomy on Patients at High Anesthetic Risk

LiaoChien-Hung

YehChun-Nan²,

YangShang-Ju³

et al. 2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Effectiveness and Feasibility of Laparoscopic Distal Pancreatectomy on Patients at High Anesthetic Risk

LiaoChien-Hung

YehChun-Nan²,

YangShang-Ju³

et al. 2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…9,[11][12][13] In a few works, the American Society of Anesthesiologists (ASA) Physical Status (PS) categorization was used as high-risk factor. 8,14 This one is the most widely used categorization by anesthetists for detection of patient's health status before operation. It is not a risk categorization instead it is an indicator of physical condition.…”

Section: Discussionmentioning

confidence: 99%

Determination of Preanesthetic High-Risk Using Fuzzy Risk Evaluation for Surgical Operations

Sandal¹,

Hacioğlu²,

Yağiz³

et al. 2019

Turkiye Klinikleri J Med Sci

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Determination of preanesthetic high risk during surgical procedures using fuzzy risk evaluation. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study for the high risk patient classification, five major criteria comprising cardiac, pulmonary, renal or liver diseases and diabetes mellitus and three minor criteria comprising patients' age, body mass index and cigarette smoking were chosen to define the high-risk group. Since the fuzzy logic gives the ability to use linguistic expressions, that include the intuition of human operators or experts during the decision making process, it this study by using fuzzy logic modelling, rules for high risks were developed. To reach this aim a new fuzzy logic decision system is proposed that uses four input variables to calculate the risk as a percentage that is the output of the fuzzy system. R Re es su ul lt ts s: : Using Fuzzy risk evaluation; By taking into account the number of inputs and number of their corresponding membership functions, it is deduced that 270 fuzzy rules will be enough. C Co on nc cl lu us si io on n: : In this study, a risk classification model was developed by combining the risk criteria defined by previous medical studies and clinical experience with a fuzzy logic model in the preoperative period. This developed fuzzy logic model needs to be investigated by selecting specific groups of patients and specific operations. K Ke ey yw wo or rd ds s: : Anesthesia; high risk; pre anesthetic evaluation; fuzzy logic risk evaluation Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada bulanık mantık risk değerlendirmesi ile cerrahi girişim sırasında preanestezik yüksek riskin belirlenmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmada yüksek risk kriterli hastaların sınıflandırılmasında: Kalp, akciğer, böbrek, karaciğer hastaları ve diyabetus mellitus olan hastalar major risk kriterli olarak, hastanın yaşı, beden kitle indeksi ve sigara kullanımı ise hastalar için minör risk kriteri olarak belirlenmiştir. Bir minör ve bir major kriteri olan hastalar yüksek riskli olarak adlandırılmıştır. Ardından, bulanık mantık modelleme yöntemi kullanarak, yüksek riskler için kurallar geliştirilmiştir. Bulanık mantık, karar verme sürecinde operatör veya uzman insanların sezgilerini içeren dilsel ifadelerin kullanımına imkan verdiği için, bu çalışmada yüksek risk hesabı yapmak için bulanık mantık kullanılarak risk hesabında uygulanacak kurallar belirlenmiştir. Bu amaca ulaşabilmek maksadıyla çıkış olarak yüzdelik risk değerini hesaplamak için dört adet giriş değişkeni kullanan yeni bir bulanık mantıklı karar verme sistemi önerilmiştir. B Bu ul lg gu ul la ar r: : Bulanık mantık risk analizi ile belirlenen girişler ve bunlara karşılık gelen üyelik fonksiyonlarının sayısı dikkate alınarak, 270 adet bulanık mantık kuralı belirlenmiştir. S So on nu uç ç: : Bu çalışma ile ameliyat öncesi dönemde önceki tıbbi çalışmalar ve klinik tecrübeler ile belirlenmiş risk kriterlerini bir bulanık mantık karar verme modeli ile birleştirerek bir risk...

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Perioperative blood transfusions for the recurrence of colorectal cancer

Amato

Pescatori

2004

Cochrane Database of Systematic Reviews

240

192

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Effectiveness of colorectal laparoscopic surgery on patients at high anesthetic risk: an intervention cohort study

Abstract: Postoperative recovery of ASA III-IV patients is better after laparoscopic surgery for colorectal cancer, at the expense of a higher rate of minor anesthetic occurrences during surgery.

Cited by 10 publications

References 16 publications

Effectiveness and Feasibility of Laparoscopic Distal Pancreatectomy on Patients at High Anesthetic Risk

Effectiveness and Feasibility of Laparoscopic Distal Pancreatectomy on Patients at High Anesthetic Risk

Determination of Preanesthetic High-Risk Using Fuzzy Risk Evaluation for Surgical Operations

Perioperative blood transfusions for the recurrence of colorectal cancer

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