Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2021; 13(12): 1685-1695
Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1685
Risk factors for perioperative complications in laparoscopic surgeries of retrorectal cystic lesions
Pei-Pei Wang, Chen Lin, Jiao-Lin Zhou, Kai-Wen Xu, Hui-Zhong Qiu, Bin Wu
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
Processing time: 157 Days and 16.9 Hours
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.