The Factors Effecting Mortality in Emergency and Elective Colorectal Cancer Surgery

Autor: Hakan Güzel, Ali Cihat Yıldırım, Şahin Kahramanca, Gülay Özgehan, İsmail Emre Gökce, Turgut Anuk, Gülşen Çığşar
Rok vydání: 2016
Předmět:
Zdroj: Turkish Journal of Colorectal Disease, Vol 26, Iss 3, Pp 77-82 (2016)
ISSN: 2536-4898
DOI: 10.4274/tjcd.69974
Popis: INTRODUCTION: Colorectal cancers (CRC) are amongst the mostly commonly encountered cancers. The symptoms associated with CRCs depend on the tumour localization, stage and complications during diagnosis. Here we aimed to investigate the mortality rates of elective and emergent cases and to reveal factors affecting mortality. METHODS: Patients that had undergone surgery after being diagnosed as CRC were sorted into two groups: group one (emergency cases) and group two (elective cases). Groups were compared in terms of gender, comorbid diseases, liver metastases, anastomotic leaks, tumoural colon segments, mortality rates, perioperative urea, creatinine and haemoglobine values. RESULTS: The mean age of the 308 patients was 62.4 ± 11.9 and the male/female ratio was 1.4. Fifty-three patients were operated emergently. Two-hundred-sixteen patients had tumours located on the rectosigmoid junction. Seventeen patients had mortality on early postoperative 30 day. Mean age, mortality rate and liver metastases were higher in group 1 (p: 0.037, p: 0.007 ve p
Databáze: OpenAIRE