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Evaluation of the patients with colorectal cancer undergoing emergent curative surgery

BACKGROUND: The aim of our study is to evaluate perioperative and mid-term oncologic outcomes of the patients with colorectal cancer, who underwent emergent curative surgery. METHODS: The study included all patients with colorectal cancer, who underwent surgery for curative intent between 1 January...

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Autores principales: Kundes, Fikri, Kement, Metin, Cetin, Kenan, Kaptanoglu, Levent, Kocaoglu, Aytaç, Karahan, Mehmet, Yegen, Serkan Fatih, Atici, Ali Emre, Civil, Osman, Eser, Mehmet, Cakir, Tebessum, Bildik, Nejdet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125280/
https://www.ncbi.nlm.nih.gov/pubmed/27995001
http://dx.doi.org/10.1186/s40064-016-3725-9
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author Kundes, Fikri
Kement, Metin
Cetin, Kenan
Kaptanoglu, Levent
Kocaoglu, Aytaç
Karahan, Mehmet
Yegen, Serkan Fatih
Atici, Ali Emre
Civil, Osman
Eser, Mehmet
Cakir, Tebessum
Bildik, Nejdet
author_facet Kundes, Fikri
Kement, Metin
Cetin, Kenan
Kaptanoglu, Levent
Kocaoglu, Aytaç
Karahan, Mehmet
Yegen, Serkan Fatih
Atici, Ali Emre
Civil, Osman
Eser, Mehmet
Cakir, Tebessum
Bildik, Nejdet
author_sort Kundes, Fikri
collection PubMed
description BACKGROUND: The aim of our study is to evaluate perioperative and mid-term oncologic outcomes of the patients with colorectal cancer, who underwent emergent curative surgery. METHODS: The study included all patients with colorectal cancer, who underwent surgery for curative intent between 1 January 2012 and 31 December 2014 in General Surgery Department of Kartal Training and Research Hospital. The patients were divided into two groups according to the type of admission (emergent or elective). The data of the patients were retrospectively collected with chart review. Demographic characteristics of the patients, ASA scores, emergent indications and surgical interventions, postoperative complications, pathological findings, oncological therapy, and follow-up findings were investigated. RESULTS: Fifty-one and 209 patients were evaluated in both groups, respectively. Rate of right sided and sigmoid/recto-sigmoid tumors were significantly higher in emergent group. Ostomy rate, early morbidity, ICU need, transfusion, and mortality rates in emergent group were significantly higher than elective group. Average length of hospital stay in emergent group was also significantly longer in elective group (11.2 ± 3.2 vs. 8.4 ± 2.4 days). The patients in emergent group had a much lower survival rate than those in elective group. CONCLUSION: In our study, emergency presentation of colorectal cancer was found associated with increased morbidity, a longer length of stay, increased in-hospital mortality, advanced pathologic stage and worsened long term survival in even same stages.
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spelling pubmed-51252802016-12-19 Evaluation of the patients with colorectal cancer undergoing emergent curative surgery Kundes, Fikri Kement, Metin Cetin, Kenan Kaptanoglu, Levent Kocaoglu, Aytaç Karahan, Mehmet Yegen, Serkan Fatih Atici, Ali Emre Civil, Osman Eser, Mehmet Cakir, Tebessum Bildik, Nejdet Springerplus Research BACKGROUND: The aim of our study is to evaluate perioperative and mid-term oncologic outcomes of the patients with colorectal cancer, who underwent emergent curative surgery. METHODS: The study included all patients with colorectal cancer, who underwent surgery for curative intent between 1 January 2012 and 31 December 2014 in General Surgery Department of Kartal Training and Research Hospital. The patients were divided into two groups according to the type of admission (emergent or elective). The data of the patients were retrospectively collected with chart review. Demographic characteristics of the patients, ASA scores, emergent indications and surgical interventions, postoperative complications, pathological findings, oncological therapy, and follow-up findings were investigated. RESULTS: Fifty-one and 209 patients were evaluated in both groups, respectively. Rate of right sided and sigmoid/recto-sigmoid tumors were significantly higher in emergent group. Ostomy rate, early morbidity, ICU need, transfusion, and mortality rates in emergent group were significantly higher than elective group. Average length of hospital stay in emergent group was also significantly longer in elective group (11.2 ± 3.2 vs. 8.4 ± 2.4 days). The patients in emergent group had a much lower survival rate than those in elective group. CONCLUSION: In our study, emergency presentation of colorectal cancer was found associated with increased morbidity, a longer length of stay, increased in-hospital mortality, advanced pathologic stage and worsened long term survival in even same stages. Springer International Publishing 2016-11-28 /pmc/articles/PMC5125280/ /pubmed/27995001 http://dx.doi.org/10.1186/s40064-016-3725-9 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Kundes, Fikri
Kement, Metin
Cetin, Kenan
Kaptanoglu, Levent
Kocaoglu, Aytaç
Karahan, Mehmet
Yegen, Serkan Fatih
Atici, Ali Emre
Civil, Osman
Eser, Mehmet
Cakir, Tebessum
Bildik, Nejdet
Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title_full Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title_fullStr Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title_full_unstemmed Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title_short Evaluation of the patients with colorectal cancer undergoing emergent curative surgery
title_sort evaluation of the patients with colorectal cancer undergoing emergent curative surgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125280/
https://www.ncbi.nlm.nih.gov/pubmed/27995001
http://dx.doi.org/10.1186/s40064-016-3725-9
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