Wang PP, Lin C, Zhou JL, Xu KW, Qiu HZ, Wu B. Risk factors for perioperative complications in laparoscopic surgeries of retrorectal cystic lesions. World J Gastrointest Surg 2021; 13(12): 1685-1695 [PMID: 35070073 DOI: 10.4240/wjgs.v13.i12.1685]
Corresponding Author of This Article
Bin Wu, MD, Chief Doctor, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan Road, Dongcheng District, Beijing 100730, China. wubin@pumch.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Pei-Pei Wang, Chen Lin, Jiao-Lin Zhou, Kai-Wen Xu, Hui-Zhong Qiu, Bin Wu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Wu B designed and revise the review; Wang PP collected clinical data, follow up the patients and wrote the manuscript; Lin C contributed to the analysis and statistics section; Wu B, Zhou JL and Qiu HZ carried out the operation; Xu KW modified the article format; all authors have read and approved the final version to be published.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Peking Union Medical College Hospital.
Informed consent statement: The analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bin Wu, MD, Chief Doctor, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan Road, Dongcheng District, Beijing 100730, China. wubin@pumch.cn
Received: July 19, 2021 Peer-review started: July 19, 2021 First decision: September 5, 2021 Revised: September 14, 2021 Accepted: October 27, 2021 Article in press: October 27, 2021 Published online: December 27, 2021
ARTICLE HIGHLIGHTS
Research background
The incidence of retrorectal lesions is low. Advantages of laparoscopic approach has been demonstrated in this field. Surgeons should minimize the incidence of perioperative complications.
Research motivation
Laparoscopic surgery of retrorectal cystic lesions have been widely used. The risk factors influencing perioperative complications of laparoscopic surgery should be discussed.
Research objectives
To investigate the risk factors for perioperative complications in laparoscopic surgeries of retrorectal cystic lesions.
Research methods
We retrospectively collected patient data as detailed as possible. Besides univariate analysis and multivariate analysis, patients were divided into groups based on the lesion location related to the 3rd sacral vertebra(S3) and diameter to investigate the possible risk factors.
Research results
Tumor diameter larger than 10 cm could be an independent risk factor. No significant differences in perioperative complications between the under-S3 group and the above-S3 group.
Research conclusions
Laparoscopic excision of retrorectal cystic lesions below the S3 Level is safe and feasible. Lesion diameter was an independent risk factor for the development of perioperative complications.
Research perspectives
Larger multi-center, prospective studies can be conducted to verify whether tumors larger than 10 cm in diameter could be the risk factor.
