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May 1957

Abdominoperineal Resection Morbidity: Preoperative and Operative Factors

Author Affiliations

Iowa City
From the Department of Surgery, State University of Iowa, College of Medicine.

AMA Arch Surg. 1957;74(5):770-779. doi:10.1001/archsurg.1957.01280110112015

Complications and mortalities observed in 176 patients undergoing abdominoperineal resection at the University of Iowa Hospitals from 1947 through 1951, inclusive, were reported and discussed in an earlier communication.1 This was the total number of abdominoperineal resections performed at the University Hospitals during this five-year period for all indications by all surgeons. The diagnosis, sex, and ages of these patients are recorded in the Table. One hundred eleven patients had one or more complications, for a total of 206 complications. Seventy-eight patients had early nonurologic complications; thirty-four, early urologic, and thirty-two, late complications. There were 17* deaths (9.6%).

The present report is concerned with an evaluation of the possible causative roles played by certain preoperative and operative factors in the genesis of the observed morbidities. The days' duration of the postoperative hospitalization (POD), incidence of complications (CI), and mortality rate (MR) have been used as indices of morbidity. The

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