Skip to main content
SpringerLink
Log in
Book cover

Moderne Chirurgie des Rektumkarzinoms pp 63–68Cite as

Präoperative Risikoabschätzung

  • Chapter
  • First Online:

  • 3161 Accesses

Zusammenfassung

Patienten mit kolorektalen Karzinomen werden bedingt durch den demographischen Wandel älter und haben eine höhere Komorbidität. Um den gleichzeitig gestiegenen Anforderungen an die Sicherheit chirurgischer Eingriffe gerecht werden zu können, kann sich der kolorektale Chirurg einer breiten Anzahl von klinischen Risiko-Scores bedienen. Dieses Kapitel stellt die Entwicklung von Risiko-Scores vom ASA bis hin zum Universal-Risk-Calculator dar. Ziel jeder präoperativen Risikoabschätzung ist es, durch präoperative Elimination oder Reduktion von Risikofaktoren das bestmögliche Maß an Patientensicherheit zu erreichen.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  • Ashraf SQ, Burns EM, Jani A et al (2013) The economic impact of anastomotic leakage after anterior resections in English NHS hospitals: are we adequately remunerating them? Colorectal Dis 15:190–198

    Article  Google Scholar 

  • Bilimoria KY, Cohen ME, Ingraham AM et al (2010) Effect of postdischarge morbidity and mortality on comparisons of hospital surgical quality. Ann Surg 252:183–190

    Article  PubMed  Google Scholar 

  • Bilimoria KY, Liu Y, Paruch JL et al (2013) Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons. J Am Coll Surg 217:833–842

    Article  PubMed Central  PubMed  Google Scholar 

  • Bromage SJ, Cunliffe WJ (2007) Validation of the CR-POSSUM risk-adjusted scoring system for major colorectal cancer surgery in a single center. Dis Colon Rectum 50:192–196

    Article  PubMed  Google Scholar 

  • Charlson ME, Pompei P, Ales KL et al (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:373–383

    Article  CAS  PubMed  Google Scholar 

  • Cohen ME, Bilimoria KY, Ko CY et al (2009) Development of an American College of Surgeons National Surgery Quality Improvement Program: morbidity and mortality risk calculator for colorectal surgery. J Am Coll Surg 208:1009–1016

    Article  PubMed  Google Scholar 

  • Daley J, Henderson WG, Khuri SF (2001) Risk-adjusted surgical outcomes. Ann Rev Med 52:275–287

    Article  CAS  PubMed  Google Scholar 

  • Dekker JW, Liefers GJ, de van Mol Otterloo JC et al (2011) Predicting the risk of anastomotic leakage in left-sided colorectal surgery using a colon leakage score. J Surg Res 166:27–34

    Article  Google Scholar 

  • Fleisher LA, Beckman JA, Brown KA et al (2007) ACC/AHA 2007 Guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. J Am Coll Card 50:1707–1732

    Article  Google Scholar 

  • Gawande AA, Kwaan MR, Regenbogen SE et al (2007) An Apgar score for surgery. J Am Coll Surg 204:201–208

    Article  PubMed  Google Scholar 

  • Gervaz P, Bandiera-Clerc C, Buchs NC et al (2012) Scoring system to predict the risk of surgical-site infection after colorectal resection. Br J Surg 99:589–595

    Article  CAS  PubMed  Google Scholar 

  • Myers J, Prakash M, Froelicher V et al (2002) Exercise capacity and mortality among men referred for exercise testing. N Engl J Med 346:793–801

    Article  PubMed  Google Scholar 

  • Ouellette JR, Small DG, Termuhlen PM (2004) Evaluation of Charlson-Age Comorbidity Index as predictor of morbidity and mortality in patients with colorectal carcinoma. J Gastrointest Surg 8:1061–1067

    Article  PubMed  Google Scholar 

  • Paulson EC, Mitra N, Sonnad S et al (2008) National Cancer Institute designation predicts improved outcomes in colorectal cancer surgery. Ann Surg 248:675–686

    PubMed  Google Scholar 

  • Saklad M (1941) Grading of patients for surgical procedures. Anesthesiology 2:281–284

    Article  Google Scholar 

  • Smetana GW, Cohn SL, Mercado DL et al (2006) Update in perioperative medicine. J Gen Intern Med 21:1329–1337

    Article  PubMed Central  PubMed  Google Scholar 

  • Suding P, Jensen E, Abramson MA et al (2008) Definitive risk factors for anastomotic leaks in elective open colorectal resection. Arch Surg 143:907–911

    Article  PubMed  Google Scholar 

  • Sweetland S, Green J, Liu B et al (2009) Duration and magnitude of the postoperative risk of venous thromboembolism in middle aged women: prospective cohort study. BMJ 339:b4583

    Google Scholar 

  • Task Force (2009) for Preoperative Cardiac Risk A, Perioperative Cardiac Management in Non-cardiac S, European Society of C et al. Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery. Eur Heart J 30:2769–2812

    Article  Google Scholar 

  • Tekkis PP, Poloniecki JD, Thompson MR et al (2003) Operative mortality in colorectal cancer: prospective national study. BMJ 327:1196–1201

    Article  PubMed Central  PubMed  Google Scholar 

  • Tekkis PP, Prytherch DR, Kocher HM et al (2004) Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg 91:1174–1182

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité - Universitätsmedizin Berlin. Campus Benjamin Franklin, Chirurgische Klinik und Hochschulambulanz I, Hindenburgdamm 30, 12200, Berlin, Deutschland

    Hendrik Seeliger PD Dr. med.

Authors
  1. Hendrik Seeliger PD Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hendrik Seeliger PD Dr. med. .

Editor information

Editors and Affiliations

  1. Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany

    Martin E. Kreis

  2. Klinik für Allgemein- und Viszeralchirurgie, Vivantes Klinikum im Friedrichshain, Berlin, Germany

    Joachim Straßburg

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Seeliger, H. (2015). Präoperative Risikoabschätzung. In: Kreis, M., Straßburg, J. (eds) Moderne Chirurgie des Rektumkarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40390-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-40390-3_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40389-7

  • Online ISBN: 978-3-642-40390-3

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation