Are Major Complications After Digestive Surgery Preventable?
Whenever questions arise about major complications after Digestive surgery, the actual morbidity rates of the respective types of surgery are warranted and important for the judgment of the clinical relevance and the continuous improvement of surgical management. There have been major advances in the reduction of postoperative complications following Digestive Surgery in the past years. The reasons for the improved outcome reside—beside others—in improved diagnostic tests leading to early intervention and a more precise surgical approach, better neoadjuvant treatment options, and improved peri- and postoperative care and in modified and innovative surgical techniques or devices. Surgical clinical trials have provided evidence of how to treat and prevent complications and abandoned some traditional treatment protocols that clearly had no benefit for the surgical outcome. A breakthrough in reduction of postoperative morbidity and improved surgical outcome has been provoked by the centralization of complex operations at specialized surgical high-volume centers.
KeywordsDigestive Surgery Complications Morbidity rates Preoperative setting Surgical technique Perioperative setting Postoperative setting Prevention
- 3.Koch M, Garden OJ, Padbury R, Rahbari NN, Adam R, Capussotti L, et al. Bile leakage after hepatobiliary and pancreatic surgery: A definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011;149:680–8.Google Scholar
- 11.Rahbari NN, Garden OJ, Padbury R, Brooke-Smith M, Crawford M, Adam R, et al. Posthepatectomy liver failure: A definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011;149:713–24.Google Scholar
- 18.Gurusamy KS, Samraj K. Routine abdominal drainage for uncomplicated open cholecystectomy. Cochrane Database Syst Rev. 2007;CD006003.Google Scholar
- 19.Gurusamy KS, Samraj K, Davidson BR. Routine abdominal drainage for uncomplicated liver resection. Cochrane Database Syst Rev. 2007;CD006232.Google Scholar
- 20.Jesus EC, Karliczek A, Matos D, Castro AA, Atallah AN. Prophylactic anastomotic drainage for colorectal surgery. Cochrane Database Syst Rev. 2004;CD002100.Google Scholar
- 25.Gurusamy KS, Koti R, Fusai G, Davidson BR. Somatostatin analogues for pancreatic surgery. Cochrane Database Syst Rev. 2010;CD008370.Google Scholar