Evaluation of the relationship between lactacidemia and postoperative complications after surgery for peritoneal carcinomatosis.

摘要: BACKGROUND Cytoreductive surgery was developed as a treatment for peritoneal carcinomatosis. However, this is associated with important complications. The present study aimed to assess the relationship between lactacidemia and rate of complications during immediate postoperative period in intensive care unit (ICU) patients undergoing cytoreductive surgery. METHODS This retrospective observational study. A total 57 underwent All were admitted ICU immediately after Data on lactic acid levels at time admission discharge from collected. Postsurgical that occurred stay recorded according failure-to-rescue analysis their severity stratified Clavien-Dindo classification. RESULTS significantly higher who complications, an almost tripled unadjusted relative risk (2.9, 95% CI: 1.6, 5.3), than those did not develop threshold established cumulative sum curve graphs. After adjustment confounding effects, became even (3.1, 1.8, 3.6). Lactic still group ICU. CONCLUSIONS Serum lactate level factor suggests developing severe triples 2.5 mmol/L or