C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience

Eligijus Poskus; Ignas Karnusevicius; Gintare Andreikaite; Saulius Mikalauskas; Tomas Poskus; Kestutis Strupas

doi:10.5114/wiitm.2015.54077

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience

Eligijus Poskus

,

Ignas Karnusevicius

,

Gintare Andreikaite

,

Saulius Mikalauskas

,

Tomas Poskus

,

Kestutis Strupas

Videosurgery Miniinv 2015; 10 (3): 418–422

DOI: https://doi.org/10.5114/wiitm.2015.54077

Online publish date: 2015/09/14

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AMA

Poskus E, Karnusevicius I, Andreikaite G, Mikalauskas S, Poskus T, Strupas K. C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience. Videosurgery and Other Miniinvasive Techniques. 2015:418-422. doi:10.5114/wiitm.2015.54077.

APA

Poskus, E., Karnusevicius, I., Andreikaite, G., Mikalauskas, S., Poskus, T.,  & Strupas, K. (2015). C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience. Videosurgery and Other Miniinvasive Techniques, 418-422. https://doi.org/10.5114/wiitm.2015.54077

Chicago

Poskus, Eligijus, Ignas Karnusevicius, Gintare Andreikaite, Saulius Mikalauskas, Tomas Poskus,  and Kestutis Strupas. 2015. "C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience". Videosurgery and Other Miniinvasive Techniques: 418-422. doi:10.5114/wiitm.2015.54077.

Harvard

Poskus, E., Karnusevicius, I., Andreikaite, G., Mikalauskas, S., Poskus, T.,  and Strupas, K. (2015). C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience. Videosurgery and Other Miniinvasive Techniques, pp.418-422. https://doi.org/10.5114/wiitm.2015.54077

MLA

Poskus, Eligijus et al. "C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience." Videosurgery and Other Miniinvasive Techniques, 2015, pp. 418-422. doi:10.5114/wiitm.2015.54077.

Vancouver

Poskus E, Karnusevicius I, Andreikaite G, Mikalauskas S, Poskus T, Strupas K. C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience. Videosurgery and Other Miniinvasive Techniques. 2015:418-422. doi:10.5114/wiitm.2015.54077.

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Introduction: With the development and improvement of laparoscopic surgery, procedures have become common. However, post-operative complications occur when patients are released from hospital. These complications increase patients’ morbidity and mortality. They also lead to re-hospitalization, an extended recovery period, and an increase in the cost of treatment.

Aim: To evaluate and determine the prognostic properties of C-reactive protein in the early diagnosis of postoperative complications after a laparoscopic colon resection.

Material and methods: The prospective study included patients who underwent laparoscopic colorectal surgery in 2010–2014. The patients were divided into two groups – uncomplicated ones and those with complications. C-reactive protein concentrations in their blood serum were measured on the 2nd, 4th and 6th day after surgery. Logistic regression analysis was used to evaluate the relation between C-reactive protein values measured on the 2^nd, 4^th and 6^th postoperative day and related complications. Receiver operating characteristic curves were used to determine the sensitivity and specificity of each C-reactive protein value measured on the 2^nd, 4^th and 6^th postoperative day.

Results: One hundred and six patients were included in the trial; 14 of them had complications. On the second day, a C-reactive protein cut-off value of 88.6 mmol/l provided the highest sensitivity and specificity for predicting evolving complications, being 71.4% and 84.8% respectively (p = 0.003). The significant predictive cut-off value decreases and becomes more sensitive and specific each post-operative day.

Conclusions: It is possible to detect developing post-operative complications early on by monitoring C-reactive protein concentration levels in the blood serum on the 2^nd, 4^th, and 6^th post-operative days.

keywords:

C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery: five-year experience

Eligijus Poskus , Ignas Karnusevicius , Gintare Andreikaite , Saulius Mikalauskas , Tomas Poskus , Kestutis Strupas

C-reactive protein, colorectal, laparoscopic

Eligijus Poskus

,

Ignas Karnusevicius

,

Gintare Andreikaite

,

Saulius Mikalauskas

,

Tomas Poskus

,

Kestutis Strupas