Evaluation of Short Term Outcome of Elective and Emergency Surgery for Colorectal Cancer: A Single Institute Experience Short term outcomes after elective and emergency colorectal cancer surgery
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Background: Emergency surgery for colorectal cancer is associated with increased likelihood of postoperative morbidity and mortality. The primary purpose of this prospective study was to identify factors associated with short term postoperative morbidity, mortality and recurrence at the end of one year in patients with colorectal adenocarcinoma undergoing elective and emergency surgery. Methods: This was a prospective observational study which included patients with colorectal adenocarcinoma who underwent surgery between September – November 2013 at a single tertiary care center .These patients were followed up for 1 year. Data on patient age, gender, operation type, intraoperative results, length of hospital stay, co-morbidities, postoperative complications and pathological results were evaluated and compared. Multiple regression analysis was used to identify independent risk factors for postoperative complications. Results: 70 patients with colorectal cancer underwent surgery, 24 patients presented in emergency. There was no statistical difference between groups in terms of age and gender. The difference between the groups in terms of co morbidities, intraoperative findings, adequacy of resection and pathological stage was statistically significant. Morbidity and mortality rates in emergency and electively operated patients were not statistically significant . Age and stage was independently associated with seven day postoperative mortality and overall mortality respectively(p<0.05). Conclusion: Emergency surgery for colorectal cancer is not associated with increased short term postoperative morbidity and mortality. Radical resection of tumor in emergency setting can result in outcomes similar to those operated electively.
Authors and Affiliations
Dr Maitreyi S Patel
Keywords
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