Outcome of emergency one-stage resection and anastomosis procedure for patients with obstructed colorectal cancer
Autor: | Yuko Sumise, Natsu Okitsu, Kazuo Yoshioka, Yukari Harino, Takeshi Yamaguchi, Yusuke Arakawa, Akemi Yamanaka, Seiki Tashiro, Hitomi Kamo, Yoshihiro Nakai |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Adult
medicine.medical_specialty Colorectal cancer medicine.medical_treatment Anastomosis Stage ii General Biochemistry Genetics and Molecular Biology Resection Postoperative Complications Japan medicine Humans intraoperative intestinal decompression elderly patients with aged 70 years or over (70's) Colectomy Survival analysis emergency one-stage resection and anastomosis Aged Aged 80 and over business.industry General surgery Anastomosis Surgical Operative mortality One stage General Medicine Middle Aged medicine.disease Surgery Treatment Outcome obstructed colorectal cancer Emergencies Colorectal Neoplasms business Intestinal Obstruction |
Zdroj: | The journal of medical investigation : JMI. 60(3-4):249-255 |
ISSN: | 1343-1420 |
Popis: | Purposes : The purpose of this study was to verify the outcome of the emergency one stage resection and anastomosis procedure for patients with obstructed colorectal cancer. Methods : An emergency one stage resection and anastomosis procedure was performed for 40 patients with obstructive colorectal cancer. The outcome was verified and compared dividing into two groups. 17 patients under the age of 70 in (Group A), 23 patients 70 years and over in (Group B). Results : The operative mortality rate in both groups was 0%. As a result, postoperative complications were not significantly different between the two groups. The overall survival rate after a 5-year period in both groups was 41.8%, regarding all patients and the survival curves for the two groups, was not significantly different. The 5 year survival rate in stage II or III showed no differences between the two groups. Conclusion : The one-stage resection and anastomosis of the large bowel could be applied safely to emergency patients, which in turn allows for excellent shortterm operative results in both groups mentioned. This particular procedure should be positively enforced, even in elderly patients in their 70’s. |
Databáze: | OpenAIRE |
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