Differences between proximal and distal obstructing colonic cancer after curative surgery

Autor:	Ricardo Frago, Domenico Fraccalvieri, Bernat Miguel, Mónica Millán, Esther Kreisler, Sebastiano Biondo, Eduardo Jaurrieta, Thomas Golda
Rok vydání:	2011
Předmět:	Splenic flexure medicine.medical_specialty Colorectal cancer business.industry Gastroenterology Retrospective cohort study Anastomosis Dehiscence medicine.disease Colorectal surgery Surgery Internal medicine medicine Radical surgery business Survival rate
Zdroj:	Colorectal Disease. 13:e116-e122
ISSN:	1462-8910
DOI:	10.1111/j.1463-1318.2010.02549.x
Popis:	Aim To study any possible differences in morbidity, mortality and overall survival rate after curative surgery for obstructive colon cancer according to tumour location. Method From January 1994 to December 2006, patients with colonic cancer presenting as obstruction were analysed. The two groups were defined as proximal and distal according to the tumour location with respect to the splenic flexure. In relation to the surgeon specialization, patients were operated on by a colorectal surgeon and by a general surgeon. Postoperative morbidity and mortality and cancer-related survival at 3 years were analysed. Results Of the 377 patients included in the study, there were 173 patients (45.9%) in the proximal group and 204 patients (54.1%) in the distal group. The global morbidity was 54.9% without differences in postoperative morbidity except for anastomotic leakage, which was higher in the proximal group (P
Databáze:	OpenAIRE
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