Surgical outcome and clinicopathological characteristics of emergency presentation elective cases of colorectal cancer
| Autor: | Babak Masoumi, Ehsan Bolvardi, Koorosh Ahmadi, Mojtaba Ahmadinejad, Niaz Mohammad Jafari Chokan, Seyyed Mohsen Pouryaghobi, Fatemeh Bayat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
tumor Colorectal cancer Perineural invasion patients law.invention 03 medical and health sciences 0302 clinical medicine law Clinical Research Medicine Stage (cooking) Elective surgery colorectal business.industry emergency Mortality rate General surgery General Medicine Perioperative medicine.disease Intensive care unit mortality Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Presentation (obstetrics) business |
| Zdroj: | Archives of Medical Science : AMS |
| ISSN: | 1896-9151 1734-1922 |
| Popis: | Introduction: The aim of this study was to evaluate the significance of clinicopathological characteristics of colorectal cancer patients undergoing emergency and elective surgery. Material and methods: In total, 116 tumors from patients treated surgically for colorectal cancer at four hospitals in Tehran between 2008 and 2013 were analyzed in the current study. Results: Our findings revealed that the emergency cases were significantly more likely to have an advanced TNM stage (p = 0.027) and histologic grade (p = 0.01) compared with the elective patients. Furthermore, the nature of surgery was significantly associated with vascular and perineural invasion (p = 0.021; p = 0.001). We also evaluated the association of gender, age, and tumor location with the nature of surgical presentation. However, no association was found between these parameters and the nature of surgery. Emergency was also correlated with greater length of hospital stay and higher rate of admission to the intensive care unit. The mortality rate was 20 in emergency cases, while patients with elective surgery had 5.63 perioperative mortality (p = 0.001). The emergency patients had a higher rate of mortality. Conclusions: Our data indicated that colorectal cancer patients undergoing emergency surgery showed an advanced stage. The emergency patients had a higher rate of mortality than elective cases. Copyright © 2016 Termedia & Banach. |
| Databáze: | OpenAIRE |
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