Surgical Outcomes of Rectal Cancer in Latin America
Author Information
Author(s): Nicolas Avellaneda, Sebastian Valdivieso, Fabio Leiro, Marcos Gonzalez, Marcelo Viola Malet, Helio Moreira Junior, Reinaldo Isaacs, Eddy P. Licango-Naranjo, Augusto Carrie, Gianluca Pellino, Antonino Spinelli, Antonio Caycedo-Marulanda, Mateo Santillán, Delfina Berasategui, Camila Bustamante Mayne, Martina Brun, Diana Alejandra Pantoja Pachajoa, Matías Parodi, Rosario Martiarena, Sergio Schlain, Camila Harriott Bras, Nicolas Rotholtz, Maximiliano Bun, Analía Inés Potolicchio, Yenny Quiroga, Federico Héctor Enrique Carballo, Pablo Farina, Carlos Vaccaro, Marcos González, Simón Sedziszow, Gaston Ortigueira, Tomas Seip, Oscar Dalzio Brosutti, María Soledad Cian, Fabio Oscar Leiro, Romina Bianchi, Yanet Julieta Espino Campagna, Mariela Cedermas, Pablo Arbios, Agustín Alesandrini, Juan Alberto Perriello, Javier Ignacio Villaggi, Florencia Barbero, Juan Manuel Giordanino, Gustavo Adrián Nari, Juan Pablo Muñoz, Natalia Mira Gesto, Federico Medina, Javier Santiago Minoldo, Gerardo Zanoni, Nicolas Cristian Lucas, Debra Nielsen, Juan Manuel Sotelo, Ana Inés Leone, Federico Posner, Diego Hernán Barletta, Christian Abel Ferrufino Méndez, Rogerio Serafim Parra, Fabio Lopes de Queiroz, Daniel Mauricio Londoño Estrada, Romulo Medeiros de Almeida, João Batista de Sousa, Bruno Augusto Alves Martins, Marcela Maria Silvino Craveiro, Rogerio Saad-Hossne, Augusto Antonio Barrera Zamorano, Alejandro Nicolas Barrera Escobar, Claudio Patricio Benavides Yáñez, Benedicto Misael Ocares Urzua, Francisco Xavier Báez Rojas, Tomas Sebastian Contreras Rivas, Felipe Bellolio Roth, Daniel Miranda Moreno, Christophe Riquoir Altamirano, Andrés Bettini Iglesias, Nelson Niño Puentes, María Sofia Labrador Morales, Juan Camilo Correa Cote, Gustavo Adolfo López, Daniela Sierra Castaño, Mauricio Gonzales Gonzales Dorado, Andrés Ramiro Lanza Diaz, Víctor Hugo Bruno Cao, Jessica Capre Pereira, Rosana María Babilonia Yepes, Cristina Judith Padilla Herrera, Luis Eduardo Martínez López, Maikel Adolfo Pacheco Trujillo, Javier Ernesto Barreras González, Jorge Gerardo Pereira Fraga, Rafael Torres Peña, Miguel Ángel Martínez Alfonso, David Renato Silva Segovia, Francisco David Rivadeneira Proaño, Javier López-Gómez, Aldo Hernán Jaramillo Romero, Mario Alberto López Ramírez, Pablo Zeron Pontones, Ismael Brito Toledo, Michel Hernández Valadez, Adan Ramirez-Gaona, Josue Palacio Magaña, Roberto Ángel Núñez González, Marisol Solórzano Vanegas, María Alejandra Salazar Álvarez, Carlos Alberto Medina Diarte, Ruben Dominguez Azuaga, María Alejandra Pequeño Martínez, Marcelo Laurini Zanola, Alejandro Soumastre, Federico Duran, Alexandra Duffau Furini, Felix Luis Edgar Vásquez Chirinos, Sergio Antonio Martínez-Millán, Edibel Sabrina Vicent Vásquez, Maryeli Josefina Solorzano Vásquez
Primary Institution: General Surgery Department, CEMIC University Hospital, Buenos Aires, Argentina
Hypothesis
What are the short-term surgical outcomes of rectal adenocarcinoma treatment in Latin America?
Conclusion
The study provides insights into the management and outcomes of rectal cancer surgery in Latin America, highlighting areas for improvement.
Supporting Evidence
- 2044 patients from 49 centers in 12 Latin American countries were included in the study.
- 29.9% of patients presented a postoperative complication.
- The anastomotic leak rate was 8.9%.
- 86% of patients were operated by specialized colorectal surgeons.
- 31% of patients were intervened using a conventional approach.
Takeaway
This study looked at how well patients with rectal cancer did after surgery in Latin America, showing that many had complications and that there are ways to make treatment better.
Methodology
A retrospective, multicenter study analyzing preoperative and operative characteristics of patients treated for rectal cancer from 2015 to 2022.
Potential Biases
Potential representation bias due to targeting surgeons with specific interests in colorectal surgery.
Limitations
The study is retrospective, may have missed patients due to lack of access to information, and has significant heterogeneity in surgical practices across centers.
Participant Demographics
Mean age of 63 years, 44.68% female, 24.58% operated in low-volume centers.
Statistical Information
P-Value
0.023
Confidence Interval
1.05–1.97
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website