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British Journal of Anaesthesia, 2001, Vol. 87, No. 3 447-452
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Clinical Investigations

Perianaesthetic risks and outcomes of abdominal surgery for metastatic carcinoid tumours{dagger}

M. A. O. Kinney*,1, M. E. Warner1, D. M. Nagorney2, J. Rubin3, D. R. Schroeder4, P. M. Maxson5 and M. A. Warner1

1Perioperative Outcomes Group and Department of Anesthesiology, 2Department of Surgery, 3Department of Medical Oncology, 4Perioperative Outcomes Group and Department of Health Sciences Research and 5Perioperative Outcomes Group, Mayo Medical School, Rochester, MN, USA*Corresponding author: Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

{dagger}An abstract was presented at the American Society of Anesthesiologists meeting in Orlando, Florida, October 20, 1998, and the Midwest Anesthesia Residents Conference in Columbus, Ohio, April 17, 1999.

Patients with metastatic carcinoid tumours often undergo surgical procedures to reduce the tumour burden and associated debilitating symptoms. These procedures and anaesthesia can precipitate a life-threatening carcinoid crisis. To assess perioperative outcomes, we studied retrospectively the medical records of adult patients from 1983 to 1996 who underwent abdominal surgery for metastatic carcinoid tumours. Preoperative risk factors, intraoperative complications and complications occurring in the 30 days after surgery were recorded. Perioperative complications or death occurred in 15 of 119 patients (12.6%, exact confidence interval 7.2–19.9). None of the 45 patients who received octreotide intraoperatively experienced intraoperative complications compared with eight of the 73 patients (11.0%) who did not receive octreotide (P=0.023). The presence of carcinoid heart disease and high urinary output of 5-hydroxyindoleacetic acid preoperatively were statistically significant risk factors for perioperative complications.

Br J Anaesth 2001; 87: 447–52


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