Background.Material and methods.Results.Conclusion.

Článek o pooperačních komplikacích a optimalizacích chirurgické operační techniky. Pilotní studie byla verifikována na základě studie pooperačních komplikací u pacientů operovaných pro karcinom rekta.

Background. Potential benefits and risks of new operation techniques can show up differently in the individual patients. The aim of this pilot study was to verify on the basis of reliable prediction of posoperative complications the possibility to create model for optimization of the operation technique in the cohort of patients operated for rectal carcinoma. Material and methods. The study involved patients operated in the course of five years for rectal carcinoma by means of laparoscopic or open technique. The mathematical models of prediction of postoperative complications of individual operative techniques were derived from the Physiological and Operative Severity Score for enumeration of Mortality and Morbidity scoring system (POSSUM). The reliability of prediction for the given technique was tested and the patients of the cohort were analyzed with regard to the "suitability" of the operation technique used. Results.