Oncologic long-term outcomes of emergency versus elective resection for colorectal cancer
| Autor: | Joël L. Lavanchy, Lukas Brügger, Tobias Haltmeier, Beat Schnüriger, Lukas Vaisnora, Inti Zlobec, Daniel Candinas |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Colorectal cancer Perforation (oil well) Risk Assessment 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Tumor stage medicine Long term outcomes Humans Hospital Mortality Elective surgery 610 Medicine & health Colectomy Aged Neoplasm Staging Retrospective Studies business.industry Gastroenterology Retrospective cohort study Elective resection Middle Aged Hepatology medicine.disease Surgery Treatment Outcome Elective Surgical Procedures 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Emergencies Neoplasm Recurrence Local Colorectal Neoplasms business |
| Zdroj: | International Journal of Colorectal Disease. 34:2091-2099 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-019-03426-8 |
| Popis: | Long-term outcomes in patients undergoing emergency versus elective resection for colorectal cancer (CRC) are discussed controversially. This study aims to assess long-term outcomes of emergency versus elective CRC surgery. Single-center retrospective cohort study. Patients undergoing emergency or elective CRC surgery from July 2002 to January 2013 were included. Primary outcome was 5-year survival, secondary outcomes were in-hospital mortality and local tumor recurrence. Overall, 475 patients were included. Median age was 69.0 (IQR 59.0–77.0) years. A total of 141 patients (30%) were operated for rectal cancer and 334 patients (70%) for colon cancer. Median follow-up was 445 (IQR 67–1409) days. Emergency resection was performed in 105 patients (22%) due to obstruction, perforation, or bleeding. Stage IV tumors and ASA scores≥ 3 were significantly more frequent in the emergency than in the elective resection group (39.0% vs. 33.5%, p |
| Databáze: | OpenAIRE |
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