| Title |
C-reaktyvusis baltymas – komplikacijų po laparoskopinės storosios žarnos rezekcijos prediktorius / |
| Another Title |
C-reactive protein is a predictor of complications after elective laparoscopic colorectal surgery. |
| Authors |
Poškus, Eligijus ; Andreikaitė, Gintarė ; Karnuševičius, Ignas |
| DOI |
10.15388/LietChirur.2014.3082 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 2, p. 111-117.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
C-reactive protein ; laparoscopic colorectal surgery ; complications |
| Abstract [eng] |
Objective. To study the evaluation and determination of the predictive characteristics of C-reactive protein when diagnosing early postoperative complications after elective laparoscopic colorectal surgery. Materials and methods A prospective study included patients who have undergone a laparoscopic colorectal surgery in 2010–2013. The patients were divided into two groups – with and without complications. C-reactive protein concentrations in their blood serum were measured on the 2nd, 4th and 6th day after surgery. We estimated the mean values of CRP in both groups and compared them using the independent sample test, the Student criteria (t). The sensitivity, specificity, positive and negative predictive values for different CRP concentration cut-offs (40–130 mmol/l) were also calculated. Results Ninety patients were included into the trial; 11 of them had complications. The cut-off values of CRP which had the highest sensitivity, specificity, positive and negative prognostic values were 2 POD – 90 mmol/l, 4 POD – 6O mmol/l, and 6POD – 60 mmol/l. Thus, we can predict the risk of evolving complications more accurately each day after the operation. Conclusions Measuring CRP values on the 2nd, 4th and 6th postoperative day, we can diagnose the evolving complications early, i.e. after an elective laparoscopic colorectal surgery. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
